Organization
A1 DENTALCARE
Active
Parent organization
JOSE E. MADERA D.D.S., P.C.
Other names
Jose E. Madera D.D.S.,P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSE E. MADERA D.D.S., P.C.
Authorized official
DR. JOSE E MADERA D.D.D.,P.C. (OWNER)
(203) 576-1608
Entity
Organization
Contact information
Practice address
2660 MAIN ST, SUITE 217, BRIDGEPORT, CT 06606-5369
(203) 576-1608
(203) 333-6539
Mailing address
2660 MAIN ST, SUITE 217, BRIDGEPORT, CT 06606-5369
(203) 576-1608
(203) 333-6539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007930
CT
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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