Organization
CONNECTIDENT, LLC
Active
Parent organization
CONNECTIDENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONNECTIDENT
Authorized official
DR. YOON JOONG ALLAN KWON DDS (DENTIST)
(212) 786-2187
Entity
Organization
Contact information
Practice address
1011 MAIN ST, EAST HARTFORD, CT 06108-2294
(860) 528-3350
Mailing address
1011 MAIN ST, EAST HARTFORD, CT 06108-2294
(860) 528-3350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10110
CT
1223P0221X
Pediatric Dentistry
Primary
10004
CT
Other
Enumeration date
08/31/2009
Last updated
04/03/2014
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