NPI | 1952432411 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN NILES FOX President 203-886-0028 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 4703) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2020-08-22 |