Organization
AAA DENTAL LLC
Active
Other names
LAKEWOOD DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAEKYU HWANG D.M.D. (OWNER)
(860) 215-3000
Entity
Organization
Contact information
Practice address
529 FARMINGTON AVE, BRISTOL, CT 06010-3931
(860) 215-3000
Mailing address
529 FARMINGTON AVE, BRISTOL, CT 06010-3931
(860) 215-3000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10327
CT
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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