Individual
DR. ELLEN LYNN KARANDISECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4697 MAIN ST, BRIDGEPORT, CT 06606-1869
(203) 372-3626
(203) 372-4034
Mailing address
4697 MAIN ST, BRIDGEPORT, CT 06606-1869
(203) 372-3626
(203) 372-4034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
006464
CT
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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