| 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 |