| NPI | 1992992119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MCLAUGHLIN Executive Director 860-525-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 0435) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |