| NPI | 1922269257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R. CUMMISKEY Dentist/Owner 860-749-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 8145) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |