Bodner and Bodner- Branford
NPI #1700267846 in Branford, Connecticut
Provider Information
- NPI Number
- 1700267846
- Entity Type
- Organization
- Organization Name
- Bodner and Bodner- Branford
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 15, 2015
- Last Updated
- Jun 18, 2015
Practice Location
- Address
- 365 EAST MAIN STREET
- Address 2
- SUITE #2
- City
- Branford
- State
- Connecticut
- ZIP Code
- 06405-2913
- Phone
- (203) 481-2509
Authorized Official
- Name
- DR. PAUL GEREON BODNER, D.D.S.
- Title
- GENERAL PARTNER
- Phone
- (203) 481-2509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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