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Organization
BRIDGEPORT DENTAL CARE, LLC
Active
Organization
BRIDGEPORT DENTAL CARE, LLC
Active
Other names
Bridgeport Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL PATEL DMD (OWNER)
(860) 342-4141
Entity
Organization
Contact information
Practice address
2417 E MAIN ST, BRIDGEPORT, CT 06610-1802
(860) 342-4141
(860) 342-1284
Mailing address
553 PORTLAND COBALT RD, PORTLAND, CT 06480-1968
(860) 342-4141
(860) 342-1284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9785
CT
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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