| NPI | 1871668731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART S FURMAN Partner 860-688-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 7530) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 5324) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 6880) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2015-05-13 |