Individual
PAULA CERQUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4702 MAIN ST, BRIDGEPORT, CT 06606-1831
(203) 371-8282
Mailing address
4702 MAIN ST, BRIDGEPORT, CT 06606-1831
(203) 371-8282
(203) 365-2623
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9329
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236354
—
CT
Enumeration date
03/16/2006
Last updated
03/12/2014
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