Individual
DR. THERESA HUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
800 SILVER LN, SUITE 222, EAST HARTFORD, CT 06118-1296
(860) 263-7791
(860) 216-0316
Mailing address
800 SILVER LN, SUITE 222, EAST HARTFORD, CT 06118-1296
(860) 263-7791
(860) 216-0316
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
009843
CT
1223G0001X
General Practice Dentistry
Primary
009843
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487767711
—
CT
01
—
8119-3
BLUE CROSS BLUE SHIELD
RI
05
—
TH60092
—
RI
Enumeration date
08/17/2006
Last updated
11/10/2014
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