Payal Jain, DDS Valid NPI
Individual provider · General Practice Dentistry · Bridgeport, CT
- NPI
- 1023321106
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 010290 (CT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-07-19
- Last updated
- 2010-07-19
Practice location
2660 Main St, # 217
Bridgeport, CT 06606-5362
(203) 219-0285