| NPI | 1801036058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA Y MONTALVO Dds/Member 860-456-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009090) |
| Enumeration Date | 2009-02-28 |
| Last Update Date | 2009-03-03 |