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Organization

BRIDGEPORT DENTAL CARE, LLC

Active
Other names
Bridgeport Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
VIPUL PATEL DMD (OWNER)
(860) 342-4141
Entity
Organization

Contact information

Practice address
2417 E MAIN ST, BRIDGEPORT, CT 06610-1802
(860) 342-4141
(860) 342-1284
Mailing address
553 PORTLAND COBALT RD, PORTLAND, CT 06480-1968
(860) 342-4141
(860) 342-1284

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9785
CT

Other

Enumeration date
07/07/2011
Last updated
07/07/2011
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