Jong Um Dds Inc | |
21 Sherman Ct Fairfield CT 06824-5825 | |
(203) 255-0108 | |
(203) 255-1239 |
Full Name | Jong Um Dds Inc |
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Speciality | Dentist - General Practice |
Location | 21 Sherman Ct, Fairfield, Connecticut |
Authorized Official Name and Position | Jong Um (PRESIDENT) |
Authorized Official Contact | 2032550108 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jong Um Dds Inc 21 Sherman Ct Fairfield CT 06824-5825 Ph: (203) 255-0108 | Jong Um Dds Inc 21 Sherman Ct Fairfield CT 06824-5825 Ph: (203) 255-0108 |
NPI Number | 1346475316 |
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Provider Enumeration Date | 05/20/2009 |
Last Update Date | 12/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346475316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 007375 (Connecticut) | Secondary |
1223G0001X | Dentist - General Practice | 006792 (Connecticut) | Primary |
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