Organization
OPTIMUS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIS KOTSAY DMD (DENTAL DIRECTOR)
(203) 696-3260
Entity
Organization
Contact information
Practice address
982 E MAIN ST, DENTAL DEPARTMENT, BRIDGEPORT, CT 06608-1913
(203) 696-3260
(203) 334-8104
Mailing address
982 E MAIN ST, DENTAL DEPARTMENT, BRIDGEPORT, CT 06608-1913
(203) 696-3260
(203) 334-8104
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
006486
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669548376
—
CT
Enumeration date
10/17/2014
Last updated
10/17/2014
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