Organization
LIFE BRIDGE DENTAL CT PLLC
Active
Other names
Tend Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL SULLIVAN (DIRECTOR)
(212) 686-3686
Entity
Organization
Contact information
Practice address
1375 POST RD E, WESTPORT, CT 06880-5506
(212) 686-3686
Mailing address
8 CITY BLVD STE 204, NASHVILLE, TN 37209-2559
(212) 686-3686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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