Individual
CASTELIN DECAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 696-3260
(203) 334-8104
Mailing address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 696-3260
(203) 334-8104
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007617
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004234788
—
CT
01
—
C00383
MEDICARE
CT
Enumeration date
07/03/2012
Last updated
07/03/2012
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