| NPI | 1831476050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B MONTANARO Orthodontist 203-257-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 4501) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |