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Organization (NPI-2) Active

Dentist

Provider Information

NPI Number
1548666142
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1163 E MAIN ST, BRIDGEPORT, CT, 066081620
Phone
(203) 540-5577

Specialties & Taxonomies

Dentist Primary License: CT #10815

All Addresses

MAILING

1100 BARNUM AVE BARNUM DENTAL

STRATFORD, CT, 066144901

LOCATION

1163 E MAIN ST

BRIDGEPORT, CT, 066081620

(203) 540-5577