Life Bridge Dental Ct Pllc

NPI #1508554700 in Westport, Connecticut

Provider Information

NPI Number: 1508554700
Entity Type: Organization
Organization Name: Life Bridge Dental Ct Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 26, 2023
Last Updated: Apr 26, 2023

Practice Location

Address: 1375 POST RD E
City: Westport
State: Connecticut
ZIP Code: 06880-5506
Phone: (212) 686-3686

Authorized Official

Name: NEIL SULLIVAN
Title: DIRECTOR
Phone: (212) 686-3686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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