Sph Enterprise LLC
NPI #1609199074 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1609199074
- Entity Type
- Organization
- Organization Name
- Sph Enterprise LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 12, 2010
- Last Updated
- May 8, 2014
Practice Location
- Address
- 161 BOSTON AVE
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06610-1662
- Phone
- (203) 873-0598
Authorized Official
- Name
- DIANE DEVRIES
- Title
- BUSINESS MANAGER
- Phone
- (203) 873-0598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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