Organization
BRIDGEPORT DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. CASERTA DMD (OWNER)
(203) 384-2261
Entity
Organization
Contact information
Practice address
633 CLINTON AVE, BRIDGEPORT, CT 06605-1711
(203) 384-2261
(203) 366-4094
Mailing address
633 CLINTON AVE, BRIDGEPORT, CT 06605-1711
(203) 384-2261
(203) 366-4094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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