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Organization
COLIN KONG, D.M.D., LLC
Active
Organization
COLIN KONG, D.M.D., LLC
Active
Other names
Pediatric Dentistry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA SMITH (PRACTICE ADMINISTRATOR)
(203) 787-3669
Entity
Organization
Contact information
Practice address
991 STATE ST, NEW HAVEN, CT 06511-3993
(203) 787-3669
Mailing address
991 STATE ST, NEW HAVEN, CT 06511-3993
(203) 787-3669
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11032
CT
Other
Enumeration date
12/09/2016
Last updated
12/23/2016
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