Bridgeport Dentist Valid NPI
Organization · General Practice Dentistry · Bridgeport, CT
- NPI
- 1154628477
- Type
- Organization (Type 2)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 010006 (CT)
- Enumerated
- 2011-02-23
- Last updated
- 2011-02-23
Practice location
2992 Main St
Bridgeport, CT 06606-4226
(203) 873-0708