| NPI | 1992939060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANI P EDIRISINGHE Dentis/Owner 203-878-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009199) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |