DR. Ellen Lynn Karandisecky, D.D.S.
NPI #1487678660 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1487678660
- Entity Type
- Individual
- Name
- DR. Ellen Lynn Karandisecky, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4697 MAIN ST
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06606-1869
- Phone
- (203) 372-3626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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