| NPI | 1801922877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY ANN CROSSWELL Owner 860-346-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 7024) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-06-18 |