North Avenue Advanced Dental Center
NPI #1780930263 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1780930263
- Entity Type
- Organization
- Organization Name
- North Avenue Advanced Dental Center
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 2, 2012
- Last Updated
- Aug 2, 2012
Practice Location
- Address
- 2260 NORTH AVE
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06604-2413
- Phone
- (203) 853-2732
Authorized Official
- Name
- DR. LUIS M BREA, DDS
- Title
- OWNER
- Phone
- (203) 853-2732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
| Dentist - General Practice — General Practice |
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