Organization
JP DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUYONG CHUNG DMD (MANAGER)
(574) 309-1619
Entity
Organization
Contact information
Practice address
19 WOODLAND ST, SUITE 32, HARTFORD, CT 06105-2372
(860) 525-2366
Mailing address
19 WOODLAND ST, SUITE 32, HARTFORD, CT 06105-2372
(860) 525-2366
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
011523
CT
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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