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Organization
3885 MAIN ST BRIDGEPORT DENTAL INC
Active
Organization
3885 MAIN ST BRIDGEPORT DENTAL INC
Active
Other names
Connecticut Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LONGQIAN WANG DDS (GENERAL DENTIST)
(929) 285-8883
Entity
Organization
Contact information
Practice address
3885 MAIN ST STE 101, BRIDGEPORT, CT 06606-2814
(203) 663-2772
Mailing address
902 POST RD, SCARSDALE, NY 10583-5544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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