| NPI | 1962050765 |
|---|---|
| Doing Business As | BRICKWALK DENTAL |
| Entity Type | Organization |
| Authorized Contact | SASHA NOURI DREXLER Dentist 203-255-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |