| Ct Braces Bridgeport Orthodontics Pc | |
|
3909 Main St Suite A Bridgeport CT 06606-2872 | |
| (203) 374-1911 | |
| (203) 683-0524 |
| Full Name | Ct Braces Bridgeport Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3909 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Shyam Desai (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 2033741911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ct Braces Bridgeport Orthodontics Pc 3909 Main St Suite A Bridgeport CT 06606-2872 Ph: (203) 374-1911 | Ct Braces Bridgeport Orthodontics Pc 3909 Main St Suite A Bridgeport CT 06606-2872 Ph: (203) 374-1911 |
| NPI Number | 1588048748 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 07/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588048748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 009802 (Connecticut) | Primary |
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