Provider First Line Business Practice Location Address:
752 E MAIN ST
Provider Second Line Business Practice Location Address:
3RD FLOOR - DENTAL HYGIENE
Provider Business Practice Location Address City Name:
BRIDGEPORT
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06608-2335
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-576-7441
Provider Business Practice Location Address Fax Number:
203-576-8311
Provider Enumeration Date:
01/31/2007