| NPI | 1982797981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ILARDO Partner 203-531-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 006653) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 004706) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |