Individual
CAROL FELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTIST
Contact information
Practice address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 333-6864
(203) 332-0376
Mailing address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 333-6864
(203) 332-0376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008788
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008788
CT STATE :LICENSE
CT
Enumeration date
10/20/2005
Last updated
07/08/2007
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