| NPI | 1932581162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PAUL WATTS Owner 860-536-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT D04872) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |