| NPI | 1902006802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER MCGINN Executive Vice President For Inform 860-928-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 8004) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |