Le Family Dental Practice P.c | |
665 Clinton Ave Bridgeport CT 06605-1711 | |
(203) 336-5321 | |
(203) 336-5327 |
Full Name | Le Family Dental Practice P.c |
---|---|
Speciality | Dentist - General Practice |
Location | 665 Clinton Ave, Bridgeport, Connecticut |
Authorized Official Name and Position | Ed Levi (DENTIST) |
Authorized Official Contact | 2033365321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Le Family Dental Practice P.c 665 Clinton Ave Bridgeport CT 06605-1711 Ph: (203) 336-5321 | Le Family Dental Practice P.c 665 Clinton Ave Bridgeport CT 06605-1711 Ph: (203) 336-5321 |
NPI Number | 1508013673 |
---|---|
Provider Enumeration Date | 08/20/2008 |
Last Update Date | 08/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508013673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 009059 (Connecticut) | Primary |
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