| Bridgeport Family Dental Group | |
|
161 Boston Ave Bridgeport CT 06610-1662 | |
| (203) 873-0598 | |
| Not Available |
| Full Name | Bridgeport Family Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 161 Boston Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Diane Devries (BUSINESS MANAGER) |
| Authorized Official Contact | 2038730598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeport Family Dental Group 161 Boston Ave Bridgeport CT 06610-1662 Ph: (203) 873-0598 | Bridgeport Family Dental Group 161 Boston Ave Bridgeport CT 06610-1662 Ph: (203) 873-0598 |
| NPI Number | 1609199074 |
|---|---|
| Provider Enumeration Date | 03/12/2010 |
| Last Update Date | 05/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609199074 | NPI | - | NPPES |
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