| NPI | 1871747980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R. GATEHOUSE Partner 860-613-0553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 5145) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |