| NPI | 1922544543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKOS RAPTIS Orthodontist 860-261-7094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 010211) |
| Enumeration Date | 2017-01-07 |
| Last Update Date | 2017-01-07 |