| NPI | 1851454979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WILLIAM MILLER Dentist 203-255-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 8447) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |