Organization
SMART FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW M KIM DDS (PRESIDENT)
(917) 748-7355
Entity
Organization
Contact information
Practice address
838 HIGH RIDGE RD, STAMFORD, CT 06905-1913
(203) 322-5153
Mailing address
838 HIGH RIDGE RD, STAMFORD, CT 06905-1913
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011039
CT
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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