Organization
WEST HAVEN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONG K KIM DDS (PRESIDENT)
(646) 361-7570
Entity
Organization
Contact information
Practice address
666 CAMPBELL AVE, WEST HAVEN, CT 06516-3775
(646) 361-7570
(203) 873-0710
Mailing address
526 ORCHARD AVE, PALISADES PARK, NJ 07650-1326
(646) 361-7570
(201) 313-0377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010017
CT
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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