| NPI | 1861937492 |
|---|---|
| Former Legal Business Name | AVON LASER AND COSMETIC DENTISTRY LLC |
| Entity Type | Organization |
| Authorized Contact | RAKESH KUMAR Member 860-254-6955 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010189) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2020-07-31 |