| NPI | 1184347908 |
|---|---|
| Doing Business As | DR. DENTAL OF BRIDGEPORT PC |
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOSEPH RUDDY CFO 508-505-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |