Organization
HI DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNGCHUL KIM (OWNER)
(917) 334-3544
Entity
Organization
Contact information
Practice address
598 W MAIN ST, UNIT 3, NORWICH, CT 06360-5342
(917) 334-3544
Mailing address
32 UPPER PATTAGANSETT RD, UNIT 30, EAST LYME, CT 06333-1147
(917) 334-3544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
010809
CT
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235445354
—
CT
05
—
1629384987
—
CT
Enumeration date
08/26/2015
Last updated
10/19/2015
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