| NPI | 1831771450 |
|---|---|
| Doing Business As | CONNECTICUT FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LONGQIAN WANG General Dentist 929-285-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |