| A Winning Smile Llc | |
|
4697 Main St Bridgeport CT 06606-1869 | |
| (203) 372-3626 | |
| (203) 372-4034 |
| Full Name | A Winning Smile Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4697 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Ellen Lynn Karandisecky (DOCTOR) |
| Authorized Official Contact | 2033723626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Winning Smile Llc 4697 Main St Bridgeport CT 06606-1869 Ph: (203) 372-3626 | A Winning Smile Llc 4697 Main St Bridgeport CT 06606-1869 Ph: (203) 372-3626 |
| NPI Number | 1275749061 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275749061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 006464CT (Connecticut) | Primary |
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