| Sph North Haven Llc | |
|
310 Washington Ave Ste 5 North Haven CT 06473-1315 | |
| (203) 375-1388 | |
| Not Available |
| Full Name | Sph North Haven Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 Washington Ave Ste 5, North Haven, Connecticut |
| Authorized Official Name and Position | Tae Chul Ho (CO-OWNER) |
| Authorized Official Contact | 2033751388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sph North Haven Llc 310 Washington Ave Ste 5 North Haven CT 06473-1315 Ph: (203) 375-1388 | Sph North Haven Llc 310 Washington Ave Ste 5 North Haven CT 06473-1315 Ph: (203) 375-1388 |
| NPI Number | 1053132795 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053132795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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