Oral Surgery Associates, L.l.c
NPI #1184634313 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1184634313
- Entity Type
- Organization
- Organization Name
- Oral Surgery Associates, L.l.c
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Oct 1, 2007
Practice Location
- Address
- 4747 MAIN ST
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06606-1804
- Phone
- (203) 371-5595
Authorized Official
- Name
- MRS. STACEY L WHELAN
- Title
- INSURANCE COORDINATOR
- Phone
- (203) 371-5595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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