| NPI | 1801330246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE ROBERT PEZZELLA Dentist/ Owner 860-966-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: FL DN20846) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |