| Deep River Family Dental Pllc | |
|
199 Main St Deep River CT 06417-2021 | |
| (860) 526-9519 | |
| Not Available |
| Full Name | Deep River Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 199 Main St, Deep River, Connecticut |
| Authorized Official Name and Position | Soonho Kwon (OWNER/DENTIST) |
| Authorized Official Contact | 8605269519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep River Family Dental Pllc 199 Main St Deep River CT 06417-2021 Ph: (860) 526-9519 | Deep River Family Dental Pllc 199 Main St Deep River CT 06417-2021 Ph: (860) 526-9519 |
| NPI Number | 1548002496 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548002496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |