Individual
DR. JESSICA K CORRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4702 MAIN ST, BRIDGEPORT, CT 06606-1823
(475) 422-5193
Mailing address
4702 MAIN ST, BRIDGEPORT, CT 06606-1823
(475) 422-5193
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11765
CT
Other
Enumeration date
02/20/2015
Last updated
11/27/2017
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