Wayne A. Michalka, DMD Valid NPI
Individual provider · General Practice Dentistry · Bridgeport, CT
- NPI
- 1962575522
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 8231 (CT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-15
- Last updated
- 2007-07-08
Practice location
4699 Main St, Suite 200
Bridgeport, CT 06606-1830
(203) 372-3726