Organization · Type 2 NPI

Bridgeport Dentist

General Practice Dentistry · Bridgeport, CT

NPI number 1154628477 Active

About NPI 1154628477

Bridgeport Dentist's National Provider Identifier is 1154628477, issued on Feb 23, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bridgeport, CT. The record was last updated on Feb 23, 2011.