| NPI | 1821439084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFSTATHIOS GIANNOUTSOS Orthodontist 203-544-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT CT94898) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |