| NPI | 1467754309 |
|---|---|
| Doing Business As | BRIDGEPORT ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SHYAM DESAI Manager 203-374-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2011-07-22 |