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1861517237
PHILLIP JOHN DEJESUS
BRIDGEPORT, CT
NPI
1861517237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CT 008088)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
DR. PHILLIP JOHN DEJESUS DDS
4131 MAIN STREET
BRIDGEPORT, CT 06606
Phone number: 203-372-1220
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Mailing Address
DR. PHILLIP JOHN DEJESUS DDS
4131 MAIN STREET
BRIDGEPORT, CT 06606
Phone number: 203-372-1220
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