| NPI | 1942218532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER L. COOMBS President 860-668-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 7290) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-05-14 |