| NPI | 1841306883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. KIEL Vice President 860-871-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CT 5585) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |