| Park Street Family Dental | |
|
456 Park St Hartford CT 06106-1525 | |
| (860) 293-2000 | |
| (860) 293-2007 |
| Full Name | Park Street Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 456 Park St, Hartford, Connecticut |
| Authorized Official Name and Position | Bohun Choi (DDS) |
| Authorized Official Contact | 5857321994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Street Family Dental 456 Park St Hartford CT 06106-1525 Ph: (860) 293-2000 | Park Street Family Dental 456 Park St Hartford CT 06106-1525 Ph: (860) 293-2000 |
| NPI Number | 1023530441 |
|---|---|
| Provider Enumeration Date | 07/07/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023530441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 011234 (Connecticut) | Primary |
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