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Organization

UNIVERSITY OF BRIDGEPORT

Active
Other names
Fones School Of Dental Hygiene Dental Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN WILLIAMS (V. P. ADMINISTRATION AND FINANCE)
(203) 576-4651
Entity
Organization

Contact information

Practice address
60 LAFAYETTE ST, BRIDGEPORT, CT 06604-7719
(203) 576-4138
(203) 576-4220
Mailing address
60 LAFAYETTE ST, BRIDGEPORT, CT 06604-7719
(203) 576-4138
(203) 576-4220

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0463
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004010955
CT
Enumeration date
02/13/2007
Last updated
03/05/2014
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