NPI | 1841369741 |
---|---|
Entity Type | Organization |
Authorized Contact | ARNOLD EMERY BENAK Dentist 860-739-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 6190) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2020-08-22 |