| NPI | 1942388210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN GOLDBERG Dentist Owner President 203-375-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |