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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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