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Organization · General Practice Dentistry · Bridgeport, CT

NPI
1588064349
Type
Organization (Type 2)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
009562 (CT)
Enumerated
2014-08-29
Last updated
2014-09-16
Practice location
1041-1043 East Main Street
Bridgeport, CT 06608-1916
(203) 691-6145

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