NPI | 1891005005 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER S KATZ Dentist/Owner 860-521-0594 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 005151) |
Enumeration Date | 2010-10-21 |
Last Update Date | 2010-10-21 |