Individual
AMURI BARBOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTAL HYGIENIST
Contact information
Practice address
64 BLACK ROCK AVE, BRIDGEPORT, CT 06605-1200
(203) 579-5000
(203) 579-5113
Mailing address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 333-6864
(203) 332-0376
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007180
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007180
STATE LICENSE
CT
Enumeration date
11/20/2008
Last updated
11/20/2008
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