Oak Gar Moe Valid NPI

Individual provider · General Practice Dentistry · Bridgeport, CT

NPI

1407647829

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

2.014402 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2025-05-15

Last updated

2025-07-01