| Hartford Cosmetic Dental Center | |
|
609 Farmington Ave # Ll2 Hartford CT 06105-3081 | |
| (860) 206-9641 | |
| Not Available |
| Full Name | Hartford Cosmetic Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 609 Farmington Ave # Ll2, Hartford, Connecticut |
| Authorized Official Name and Position | Chia Hui Jenny Kwon (DENTIST/PART OWNER OF THE OFFICE) |
| Authorized Official Contact | 9174534055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartford Cosmetic Dental Center 609 Farmington Ave # Ll2 Hartford CT 06105-3081 Ph: (860) 206-9641 | Hartford Cosmetic Dental Center 609 Farmington Ave # Ll2 Hartford CT 06105-3081 Ph: (860) 206-9641 |
| NPI Number | 1518256643 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518256643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10004 (Connecticut) | Secondary |
| 1223G0001X | Dentist - General Practice | 10110 (Connecticut) | Primary |
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