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Organization
GENTLECARE DENTAL, LLC
Active
Organization
GENTLECARE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIHUN HAN D.D.S. (OWNER)
(201) 314-7211
Entity
Organization
Contact information
Practice address
683 FARMINGTON AVE, STORE #23, BRISTOL, CT 06010-3974
(201) 314-7211
Mailing address
683 FARMINGTON AVE, STORE #23, BRISTOL, CT 06010-3974
(201) 314-7211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010785
CT
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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