| NPI | 1275580870 |
|---|---|
| Other Name | WESTPORT DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BRIAN S DUCHAN President 203-227-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 5142) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 7811) |
| 1223P0700X Dentist, Prosthodontics (Licence: CT 3616) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |