Clive L Hamilton, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Bridgeport, CT

NPI

1568686780

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

009028 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2007-04-11

Last updated

2007-07-09