Carl F. Delucia, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Bridgeport, CT

NPI

1942281845

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

005057 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2005-11-08

Last updated

2007-07-08