North End Dental Associates, Pc | |
4699 Main St Suite 100 Bridgeport CT 06606-1830 | |
(203) 372-4296 | |
(203) 372-4734 |
Full Name | North End Dental Associates, Pc |
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Speciality | Dentist - General Practice |
Location | 4699 Main St, Bridgeport, Connecticut |
Authorized Official Name and Position | Amutha Raguram (DENTIST) |
Authorized Official Contact | 6505768237 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North End Dental Associates, Pc 4699 Main St Suite 100 Bridgeport CT 06606-1830 Ph: (203) 372-4296 | North End Dental Associates, Pc 4699 Main St Suite 100 Bridgeport CT 06606-1830 Ph: (203) 372-4296 |
NPI Number | 1053705061 |
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Provider Enumeration Date | 03/27/2015 |
Last Update Date | 03/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053705061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 10125 (Connecticut) | Primary |
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