Individual
DR. LARRY ISAAC GOTTLIEB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4697 MAIN ST, BRIDGEPORT, CT 06606-1869
(203) 374-1027
(203) 610-6663
Mailing address
4697 MAIN ST, BRIDGEPORT, CT 06606-1869
(203) 374-1027
(203) 610-6663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5874
CT
Other
Enumeration date
02/03/2006
Last updated
07/08/2007
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