| NPI | 1821174863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL Y SHALMI Dentist 203-744-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 008427) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |