| Magicland Dental Llc | |
|
1200 Park St Ste C Hartford CT 06106-2232 | |
| (860) 528-3350 | |
| Not Available |
| Full Name | Magicland Dental Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1200 Park St Ste C, Hartford, Connecticut |
| Authorized Official Name and Position | Yoon Joong Allan Kwon (MEMBER) |
| Authorized Official Contact | 2127862187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magicland Dental Llc 1011 Main St East Hartford CT 06108-2294 Ph: (212) 786-2187 | Magicland Dental Llc 1200 Park St Ste C Hartford CT 06106-2232 Ph: (860) 528-3350 |
| NPI Number | 1295426963 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295426963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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