Kristopher Antonio Yen Valid NPI
Individual provider · General Practice Dentistry · Bridgeport, CT
- NPI
- 1891355814
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DN1858401 (MA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-06-20
- Last updated
- 2019-07-03
Practice location
32 Kathryn Dr
Bridgeport, CT 06610-1264
(203) 243-9237