| West Haven Dental Llc | |
|
666 Campbell Ave West Haven CT 06516-3775 | |
| (646) 361-7570 | |
| (203) 873-0710 |
| Full Name | West Haven Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 666 Campbell Ave, West Haven, Connecticut |
| Authorized Official Name and Position | Dong K Kim (PRESIDENT) |
| Authorized Official Contact | 6463617570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Haven Dental Llc 526 Orchard Ave Palisades Park NJ 07650-1326 Ph: (646) 361-7570 | West Haven Dental Llc 666 Campbell Ave West Haven CT 06516-3775 Ph: (646) 361-7570 |
| NPI Number | 1861765711 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 02/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861765711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010017 (Connecticut) | Primary |
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