| NPI | 1912111428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI ROSENTHAL Office Manager 203-324-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CT 6032) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CT 008624) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |