| Family Dentistry Of Bridgeport P.c. | |
|
90 Brooklawn Ave Bridgeport CT 06604-2010 | |
| (203) 334-4837 | |
| Not Available |
| Full Name | Family Dentistry Of Bridgeport P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 90 Brooklawn Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Mark Agababaev (PRESIDENT) |
| Authorized Official Contact | 7188871397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Bridgeport P.c. 90 Brooklawn Ave Bridgeport CT 06604-2010 Ph: (203) 334-4837 | Family Dentistry Of Bridgeport P.c. 90 Brooklawn Ave Bridgeport CT 06604-2010 Ph: (203) 334-4837 |
| NPI Number | 1124308184 |
|---|---|
| Provider Enumeration Date | 08/23/2011 |
| Last Update Date | 08/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124308184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010091 (Connecticut) | Primary |
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