| NPI | 1881078327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUEYOUNG CHI Owner/Partner 860-342-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 10439) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |