Organization
LE FAMILY DENTAL PRACTICE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED LEVI D.D.S (DENTIST)
(203) 336-5321
Entity
Organization
Contact information
Practice address
665 CLINTON AVE, BRIDGEPORT, CT 06605-1711
(203) 336-5321
(203) 336-5327
Mailing address
665 CLINTON AVE, BRIDGEPORT, CT 06605-1711
(203) 336-5321
(203) 336-5327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009059
CT
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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