Dr.dental of Bridgeport PC
NPI #1306269758 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1306269758
- Entity Type
- Organization
- Organization Name
- Dr.dental of Bridgeport PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 21, 2014
- Last Updated
- Jan 21, 2014
Practice Location
- Address
- 1700 PARK AVE.
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06604-3826
- Phone
- (201) 725-0372
Authorized Official
- Name
- ARTHUR REVECHKIS
- Title
- MANAGING DIRECTOR
- Phone
- (201) 725-0372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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