| Lakewood Dentistry | |
|
529 Farmington Ave Bristol CT 06010-3931 | |
| (860) 215-3000 | |
| Not Available |
| Full Name | Lakewood Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 529 Farmington Ave, Bristol, Connecticut |
| Authorized Official Name and Position | Daekyu Hwang (OWNER) |
| Authorized Official Contact | 8602153000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dentistry 529 Farmington Ave Bristol CT 06010-3931 Ph: (860) 215-3000 | Lakewood Dentistry 529 Farmington Ave Bristol CT 06010-3931 Ph: (860) 215-3000 |
| NPI Number | 1396297792 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396297792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10327 (Connecticut) | Primary |
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