| NPI | 1982729158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN G REISS Owner/ President 203-775-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-08-01 |