DR. Phillip John Dejesus SR., DDS
NPI #1861517237 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1861517237
- Entity Type
- Individual
- Name
- DR. Phillip John Dejesus SR., DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4131 MAIN STREET
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06606
- Phone
- (203) 372-1220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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