Organization
HEALTHY SMILES DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUNG KIM DMD (PRESIDENT)
(860) 623-2601
Entity
Organization
Contact information
Practice address
20 MAIN ST STE 17, WINDSOR LOCKS, CT 06096-2345
(860) 623-2601
(860) 370-5467
Mailing address
2O MAIN ST, STE 17, WINDSOR LOCKS, CT 06096-1916
(860) 623-2601
(860) 370-5467
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009404
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008003404
—
CT
Enumeration date
08/02/2006
Last updated
11/13/2019
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