| NPI | 1932246964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA PAULA GOMES Dentist 860-236-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 8560) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-06-20 |