| Downtown Dental P.c. | |
|
1023 Main St 1st Floor Bridgeport CT 06604-4221 | |
| (212) 203-1611 | |
| Not Available |
| Full Name | Downtown Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1023 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Yulian Aminov (PRESIDENT) |
| Authorized Official Contact | 2122031611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Dental P.c. 9919 66th Rd Apt # 3 A Rego Park NY 11374-4458 Ph: (212) 203-1611 | Downtown Dental P.c. 1023 Main St 1st Floor Bridgeport CT 06604-4221 Ph: (212) 203-1611 |
| NPI Number | 1740626266 |
|---|---|
| Provider Enumeration Date | 05/13/2013 |
| Last Update Date | 05/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740626266 | NPI | - | NPPES |
| 008042136 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010859 (Connecticut) | Primary |
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