Individual
DR. MISHEL YOSHUVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1023 MAIN ST, BRIDGEPORT, CT 06604-4221
(203) 367-0400
Mailing address
7325 173RD ST, FRESH MEADOWS, NY 11366-1429
(917) 400-0930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062845-01
NY
122300000X
Dentist
13519
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/15/2021
Last updated
05/22/2026
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