Connecticut Family Dental, INC
NPI #1750696399 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1750696399
- Entity Type
- Organization
- Organization Name
- Connecticut Family Dental, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 6, 2010
- Last Updated
- May 9, 2013
Practice Location
- Address
- 3885 MAIN ST
- Address 2
- SUITE 101
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06606-2814
- Phone
- (203) 663-2772
Authorized Official
- Name
- MR. JACKSON MENDES
- Title
- VICE-PRESIDENT
- Phone
- (203) 663-2772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - General Practice — General Practice |
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