| NPI | 1992934822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH GANGE President 860-875-1886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT CT4562) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2014-02-14 |