Jaeho Chae

NPI #1124441167 in Manchester, Connecticut

Provider Information

NPI Number: 1124441167
Entity Type: Individual
Name: Jaeho Chae
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 28, 2014
Last Updated: Mar 31, 2016

Practice Location

Address: 483 MIDDLE TPKE W
City: Manchester
State: Connecticut
ZIP Code: 06040-3863
Phone: (860) 645-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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