Deep River Family Dental Pllc | |
199 Main St Deep River CT 06417-2021 | |
(860) 526-9519 | |
Not Available |
Full Name | Deep River Family Dental Pllc |
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Speciality | Dentist - General Practice |
Location | 199 Main St, Deep River, Connecticut |
Authorized Official Name and Position | Soonho Kwon (OWNER/DENTIST) |
Authorized Official Contact | 8605269519 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deep River Family Dental Pllc 199 Main St Deep River CT 06417-2021 Ph: (860) 526-9519 | Deep River Family Dental Pllc 199 Main St Deep River CT 06417-2021 Ph: (860) 526-9519 |
NPI Number | 1548002496 |
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Provider Enumeration Date | 06/11/2024 |
Last Update Date | 06/11/2024 |
Identifier | Type | State | Issuer |
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1548002496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |