Bright Dental At Bridgeport, Pc

NPI 1063786507 - Dentist - 1223G0001X

NPI Details
NPI 1063786507
Enumeration Date 03/01/2012
Last Updated 03/01/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RANGANAYAKI RANGANAYAKI
Position PRESIDENT
Phone (203) 371-6700
Fax
Practice Location
4575 MAIN ST
BRIDGEPORT CT, 06606-1818, US
Phone (203) 371-6700
Fax
Business Location
4575 MAIN ST
BRIDGEPORT CT, 06606-1818, US
Phone (203) 371-6700
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number 010397
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According to our database, Bright Dental At Bridgeport, Pc NPI is 1063786507, taxonomy code is 1223G0001X and license number is 010397, license state is located at Connecticut. Bright Dental At Bridgeport, Pc physically located at 4575 Main St, Bridgeport CT, 06606-1818. NPI Number 1033115704 has the healthcare provider type.

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1063786507 NPI number is provided on an as is basis without warranty of any kind. 1063786507 is maintained by the National Plan & Provider Enumeration System. The contents of Bright Dental At Bridgeport, Pc are for informational purposes only.