Organization
MAGICLAND DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOON JOONG ALLAN KWON DDS (MEMBER)
(212) 786-2187
Entity
Organization
Contact information
Practice address
1200 PARK ST STE C, HARTFORD, CT 06106-2232
(860) 528-3350
Mailing address
1011 MAIN ST, EAST HARTFORD, CT 06108-2294
(212) 786-2187
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/15/2023
Last updated
05/16/2023
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