3885 Main St Bridgeport Dental INC
NPI #1831771450 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1831771450
- Entity Type
- Organization
- Organization Name
- 3885 Main St Bridgeport Dental INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 23, 2021
- Last Updated
- Apr 23, 2021
Practice Location
- Address
- 3885 MAIN ST STE 101
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06606-2814
- Phone
- (203) 663-2772
Authorized Official
- Name
- LONGQIAN WANG, DDS
- Title
- GENERAL DENTIST
- Phone
- (929) 285-8883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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