specializing in dentist in Bridgeport, Connecticut
NPI: 1730448978
Provider Type
2
Practice Locations
Mailing Location
1801 LANTANA CT
SOUTHLAKE, TX 76092
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:5/9/2012
Last Updated:5/9/2012
Credentials
Primary Credential: