| Blooming Smile Dental Pc | |
|
162 Purdy Hill Rd Monroe CT 06468-2115 | |
| (917) 603-0675 | |
| Not Available |
| Full Name | Blooming Smile Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 162 Purdy Hill Rd, Monroe, Connecticut |
| Authorized Official Name and Position | Hee Soo Kim (OWNER) |
| Authorized Official Contact | 9176030675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Smile Dental Pc 162 Purdy Hill Rd Monroe CT 06468-2115 Ph: () - | Blooming Smile Dental Pc 162 Purdy Hill Rd Monroe CT 06468-2115 Ph: (917) 603-0675 |
| NPI Number | 1619785870 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619785870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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