Organization
SPH NORTH HAVEN LLC
Active
Other names
Complete Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TAE CHUL HO DDS (CO-OWNER)
(203) 375-1388
Entity
Organization
Contact information
Practice address
310 WASHINGTON AVE STE 5, NORTH HAVEN, CT 06473-1315
(203) 375-1388
Mailing address
310 WASHINGTON AVE STE 5, NORTH HAVEN, CT 06473-1315
(203) 375-1388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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