| Kristal Smiles Pllc | |
|
5294 Park Ave Bridgeport CT 06604-1018 | |
| (203) 212-3200 | |
| (203) 780-2500 |
| Full Name | Kristal Smiles Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5294 Park Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Thomas F Braun (MANAGER) |
| Authorized Official Contact | 2032123200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristal Smiles Pllc 5294 Park Ave Bridgeport CT 06604-1018 Ph: (203) 212-3200 | Kristal Smiles Pllc 5294 Park Ave Bridgeport CT 06604-1018 Ph: (203) 212-3200 |
| NPI Number | 1225629108 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 06/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225629108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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