Bridgeport Dental, LLC
NPI #1245403187 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1245403187
- Entity Type
- Organization
- Organization Name
- Bridgeport Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 11, 2008
- Last Updated
- Apr 11, 2008
Practice Location
- Address
- 633 CLINTON AVE
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06605-1711
- Phone
- (203) 384-2261
Authorized Official
- Name
- DR. MICHAEL J. CASERTA, DMD
- Title
- OWNER
- Phone
- (203) 384-2261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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