| NPI | 1861406639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BRUCE HAROIAN Owner / Dentist 860-247-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-12-13 |