Organization
AFFINITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAOHSIEN PENG DDS (OWNER)
(860) 389-3148
Entity
Organization
Contact information
Practice address
14 GALLIVAN LN, UNCASVILLE, CT 06382-1208
(860) 389-6016
(860) 367-0389
Mailing address
PO BOX 502, UNCASVILLE, CT 06382-0502
(860) 389-3148
(860) 367-0389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
009652
CT
1223P0700X
Prosthodontics
Primary
009652
CT
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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