Organization
NORTH END DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMUTHA RAGURAM DDS (DENTIST)
(650) 576-8237
Entity
Organization
Contact information
Practice address
4699 MAIN ST, SUITE 100, BRIDGEPORT, CT 06606-1830
(203) 372-4296
(203) 372-4734
Mailing address
4699 MAIN ST, SUITE 100, BRIDGEPORT, CT 06606-1830
(203) 372-4296
(203) 372-4734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10125
CT
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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