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1124178934
JOSE E. MADERA
BRIDGEPORT, CT
NPI
1124178934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CT 007930)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
DR. JOSE E. MADERA D.D.S.,P.C.
2660 MAIN STREET SUITE 217
BRIDGEPORT, CT 06606
Phone number: 203-576-1608
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Mailing Address
DR. JOSE E. MADERA D.D.S.,P.C.
7 EVERGREEN LN
MONROE, CT 06468-2381
Phone number: 203-220-8388
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