Phyll Lutzky Tross, DDS Valid NPI

Individual provider · General Practice Dentistry · Bridgeport, CT

NPI

1588769426

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

007861 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2006-09-14

Last updated

2007-07-09