Gentlecare Dental, Llc | |
683 Farmington Ave Store #23 Bristol CT 06010-3974 | |
(201) 314-7211 | |
Not Available |
Full Name | Gentlecare Dental, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 683 Farmington Ave, Bristol, Connecticut |
Authorized Official Name and Position | Jihun Han (OWNER) |
Authorized Official Contact | 2013147211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gentlecare Dental, Llc 683 Farmington Ave Store #23 Bristol CT 06010-3974 Ph: (201) 314-7211 | Gentlecare Dental, Llc 683 Farmington Ave Store #23 Bristol CT 06010-3974 Ph: (201) 314-7211 |
NPI Number | 1346608494 |
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Provider Enumeration Date | 02/03/2016 |
Last Update Date | 02/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346608494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 010785 (Connecticut) | Primary |
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