| 3885 Main St Bridgeport Dental Inc | |
|
3885 Main St Ste 101 Bridgeport CT 06606-2814 | |
| (203) 663-2772 | |
| Not Available |
| Full Name | 3885 Main St Bridgeport Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3885 Main St Ste 101, Bridgeport, Connecticut |
| Authorized Official Name and Position | Longqian Wang (GENERAL DENTIST) |
| Authorized Official Contact | 9292858883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 3885 Main St Bridgeport Dental Inc 902 Post Rd Scarsdale NY 10583-5544 Ph: () - | 3885 Main St Bridgeport Dental Inc 3885 Main St Ste 101 Bridgeport CT 06606-2814 Ph: (203) 663-2772 |
| NPI Number | 1831771450 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831771450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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