Organization Name: | DENTAL HYGIENE DIVISION |
NPI Number: | 1932239365 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HELEN O'BRIEN (SUPERVISOR) |
Mailing Address: | 752 E Main St Floor 3 Room 320 Bridgeport |
State: | CT US |
Postal Code: | 066082335 |
Phone Number: | 2035767441 |
Fax Number: | 2035768311 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 0033 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |