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9a Washington St Norwalk CT 06854-2704 | |
| (860) 810-4821 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9a Washington St, Norwalk, Connecticut |
| Authorized Official Name and Position | Tae Chul Ho (OWNER) |
| Authorized Official Contact | 8603424141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
553 Portland Cobalt Rd Portland CT 06480-1968 Ph: (860) 342-4141 | 9a Washington St Norwalk CT 06854-2704 Ph: (860) 810-4821 |
| NPI Number | 1831483312 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831483312 | NPI | - | NPPES |
| 008002144 | Medicaid | CT |
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