| South Windsor Perio, Pllc | |
|
469 Buckland Rd Ste 203 South Windsor CT 06074-3737 | |
| (860) 644-2340 | |
| Not Available |
| Full Name | South Windsor Perio, Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 469 Buckland Rd Ste 203, South Windsor, Connecticut |
| Authorized Official Name and Position | Michael Kang (OWNER/MANAGER) |
| Authorized Official Contact | 8477146929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Windsor Perio, Pllc 469 Buckland Rd Ste 203 South Windsor CT 06074-3737 Ph: (860) 644-2340 | South Windsor Perio, Pllc 469 Buckland Rd Ste 203 South Windsor CT 06074-3737 Ph: (860) 644-2340 |
| NPI Number | 1336832641 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336832641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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