| Lodestar Dental Llc | |
|
474 Foxon Blvd New Haven CT 06513-2329 | |
| (714) 334-5001 | |
| Not Available |
| Full Name | Lodestar Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 474 Foxon Blvd, New Haven, Connecticut |
| Authorized Official Name and Position | Ho R Chung (DENTIST) |
| Authorized Official Contact | 7143345001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lodestar Dental Llc 170 W Main St Apt#205k Milford CT 06460-2562 Ph: (714) 334-5001 | Lodestar Dental Llc 474 Foxon Blvd New Haven CT 06513-2329 Ph: (714) 334-5001 |
| NPI Number | 1962952606 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962952606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010653 (Connecticut) | Primary |
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