Kris Kotsay, DENTIST Valid NPI
Individual provider · Dentist · Bridgeport, CT
- NPI
- 1649269705
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 009330 (CT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-10-20
- Last updated
- 2012-02-01
Practice location
64 Black Rock Ave
Bridgeport, CT 06605-1200
(203) 579-5223