| Dr.dental Of Bridgeport Pc | |
|
1700 Park Ave. Bridgeport CT 06604-3826 | |
| (201) 725-0372 | |
| Not Available |
| Full Name | Dr.dental Of Bridgeport Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1700 Park Ave., Bridgeport, Connecticut |
| Authorized Official Name and Position | Arthur Revechkis (MANAGING DIRECTOR) |
| Authorized Official Contact | 2017250372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.dental Of Bridgeport Pc 1700 Park Ave. Bridgeport CT 06604-3826 Ph: () - | Dr.dental Of Bridgeport Pc 1700 Park Ave. Bridgeport CT 06604-3826 Ph: (201) 725-0372 |
| NPI Number | 1306269758 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306269758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010025 (Connecticut) | Primary |
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