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Organization

MERIDEN DENTAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHIA HUI JENNY KWON (MEMBER)
(917) 453-4055
Entity
Organization

Contact information

Practice address
1011 MAIN ST, EAST HARTFORD, CT 06108-2294
(860) 528-3350
Mailing address
834 BROAD ST FL 2, MERIDEN, CT 06450-4395
(860) 528-3350

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010110
CT
1223P0221X
Pediatric Dentistry
010004
CT

Other

Enumeration date
05/08/2012
Last updated
05/08/2012
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