Organization
3885 MAIN ST BRIDGEPORT DENTAL INC
Active
Other names
Connecticut Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LONGQIAN WANG DDS (GENERAL DENTIST)
(929) 285-8883
Entity
Organization
Contact information
Practice address
3885 MAIN ST STE 101, BRIDGEPORT, CT 06606-2814
(203) 663-2772
Mailing address
902 POST RD, SCARSDALE, NY 10583-5544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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