| NPI | 1962617506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA WILLIAMS Practice Manager 203-378-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 5400) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-05-08 |