Individual
GIULIANA NOVOA-ORDONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 696-3270
(203) 334-8104
Mailing address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(860) 808-6149
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11246
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11246
STATE LICENSE
CT
Enumeration date
06/06/2008
Last updated
10/22/2018
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