SPH BRIDGEPORT, LLC

BRIDGEPORT, CT
NPI1194193094
Entity TypeOrganization
Authorized ContactKIGONS SONG
Owner
646-369-6918
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2015-09-09
Last Update Date2015-09-09
Business Address
SPH BRIDGEPORT, LLC
161 BOSTON AVE
BRIDGEPORT, CT 06610-1662
Phone number: 203-873-0598
Mailing Address
SPH BRIDGEPORT, LLC
161 BOSTON AVE
BRIDGEPORT, CT 06610-1662
Phone number: 203-873-0598