| NPI | 1801287768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PAUNDLAY Practice Administrator 203-292-9594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 009425) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |