DR. Paul Gereon Bodner, D.D.S.

NPI #1235676750 in Branford, Connecticut

Provider Information

NPI Number: 1235676750
Entity Type: Individual
Name: DR. Paul Gereon Bodner, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jan 23, 2017
Last Updated: Jan 23, 2017

Practice Location

Address: 365 E MAIN ST
Address 2: SUITE #2
City: Branford
State: Connecticut
ZIP Code: 06405-2913
Phone: (203) 481-2509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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