Organization
WATERVIEW DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUEYOUNG CHI DDS (OWNER/PARTNER)
(860) 342-4141
Entity
Organization
Contact information
Practice address
553 PORTLAND COBALT RD, PORTLAND, CT 06480-1968
(860) 342-4141
(860) 342-1284
Mailing address
553 PORTLAND COBALT RD, PORTLAND, CT 06480-1968
(860) 342-4141
(860) 342-1284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10439
CT
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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