Northeast Dental Solutions Llc

NPI 1093034621 - Dentist - 122300000X

NPI Details
NPI 1093034621
Enumeration Date 05/21/2010
Last Updated 05/21/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name CLIVE B. CLIVE
Position PART OWNER/MANAGER
Phone (203) 338-0090
Fax
Practice Location
56 HARRIET ST
FIRST FLOOR
BRIDGEPORT CT, 06608-2131, US
Phone (203) 338-0090
Fax
Business Location
56 HARRIET ST
FIRST FLOOR
BRIDGEPORT CT, 06608-2131, US
Phone (203) 338-0090
Fax
Toxanomy
Taxonomy Code 122300000X
License State Connecticut
License Number 009777
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According to our database, Northeast Dental Solutions Llc NPI is 1093034621, taxonomy code is 122300000X and license number is 009777, license state is located at Connecticut. Northeast Dental Solutions Llc physically located at 56 Harriet St, Bridgeport CT, 06608-2131. NPI Number 1033115704 has the healthcare provider type.

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1093034621 NPI number is provided on an as is basis without warranty of any kind. 1093034621 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Dental Solutions Llc are for informational purposes only.