Long Ridge Dental LLC
NPI #1356756423 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1356756423
- Entity Type
- Organization
- Organization Name
- Long Ridge Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 26, 2014
- Last Updated
- Mar 2, 2015
Practice Location
- Address
- 3741 MAIN ST
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06606-3609
- Phone
- (475) 282-4912
Authorized Official
- Name
- DR. KIGON SONG, DDS
- Title
- OWNER
- Phone
- (646) 369-6918
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Endodontics — Endodontics |
| Dentist - General Practice — General Practice |
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