Organization
LITTLE SUBMARINE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOON JOONG ALLAN KWON DDS (MEMBER)
(212) 786-2187
Entity
Organization
Contact information
Practice address
580 BURNSIDE AVE, EAST HARTFORD, CT 06108-3579
(860) 282-9000
Mailing address
580 BURNSIDE AVE, EAST HARTFORD, CT 06108-3579
(860) 282-9000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
010004
CT
Other
Enumeration date
09/03/2014
Last updated
10/23/2014
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