| Jose E. Madera D.d.s., P.c | |
|
2660 Main St Suite 217 Bridgeport CT 06606-5369 | |
| (203) 576-1608 | |
| (203) 333-6539 |
| Full Name | Jose E. Madera D.d.s., P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2660 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Jose E Madera (CEO) |
| Authorized Official Contact | 2035761608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose E. Madera D.d.s., P.c 2660 Main St Suite 217 Bridgeport CT 06606-5369 Ph: (203) 576-1608 | Jose E. Madera D.d.s., P.c 2660 Main St Suite 217 Bridgeport CT 06606-5369 Ph: (203) 576-1608 |
| NPI Number | 1720318272 |
|---|---|
| Provider Enumeration Date | 01/06/2010 |
| Last Update Date | 01/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720318272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 007930 (Connecticut) | Primary |
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