Bridgeport Dentist
NPI #1154628477 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1154628477
- Entity Type
- Organization
- Organization Name
- Bridgeport Dentist
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 23, 2011
- Last Updated
- Feb 23, 2011
Practice Location
- Address
- 2992 MAIN ST
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06606-4226
- Phone
- (203) 873-0708
Authorized Official
- Name
- MIRA YI
- Title
- DIRECTOR
- Phone
- (203) 873-0708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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