Organization
LODESTAR DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HO R CHUNG DDS (DENTIST)
(714) 334-5001
Entity
Organization
Contact information
Practice address
474 FOXON BLVD, NEW HAVEN, CT 06513-2329
(714) 334-5001
Mailing address
170 W MAIN ST, APT#205K, MILFORD, CT 06460-2562
(714) 334-5001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010653
CT
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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