| First Dental Llc | |
|
325 Reef Rd Ste 106 Fairfield CT 06824-6537 | |
| (203) 292-5753 | |
| Not Available |
| Full Name | First Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 325 Reef Rd Ste 106, Fairfield, Connecticut |
| Authorized Official Name and Position | Chang Hyun Na (OWNER) |
| Authorized Official Contact | 2032925753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Dental Llc 325 Reef Rd Ste 106 Fairfield CT 06824-6537 Ph: () - | First Dental Llc 325 Reef Rd Ste 106 Fairfield CT 06824-6537 Ph: (203) 292-5753 |
| NPI Number | 1174038327 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 12/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174038327 | NPI | - | NPPES |
| 008025885 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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