Individual
DR. JOSE E. MADERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,P.C.
Contact information
Practice address
2660 MAIN STREET, SUITE 217, BRIDGEPORT, CT 06606
(203) 576-1608
Mailing address
7 EVERGREEN LN, MONROE, CT 06468-2381
(203) 220-8388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007930
CT
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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