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1154628477
BRIDGEPORT DENTIST
BRIDGEPORT, CT
NPI
1154628477
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Entity Type
Organization
Authorized Contact
MIRA YI
Director
203-873-0708
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 010006)
Enumeration Date
2011-02-23
Last Update Date
2011-02-23
Business Address
BRIDGEPORT DENTIST
2992 MAIN ST
BRIDGEPORT, CT 06606-4226
Phone number: 203-873-0708
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Mailing Address
BRIDGEPORT DENTIST
2992 MAIN ST
BRIDGEPORT, CT 06606-4226
Phone number: 203-873-0708
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