Organization
CLEAR SMILE DENTAL STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYUNG CHUL PARK DDS (OWNER)
(203) 539-0345
Entity
Organization
Contact information
Practice address
800 E MAIN ST, STAMFORD, CT 06902-3832
(203) 539-0345
Mailing address
66 SUMMER ST UNIT 1002, STAMFORD, CT 06901-2344
(201) 230-3164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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