Deep River Family Dental Pllc
NPI #1548002496 in Deep River, Connecticut
Provider Information
- NPI Number
- 1548002496
- Entity Type
- Organization
- Organization Name
- Deep River Family Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 11, 2024
- Last Updated
- Jun 11, 2024
Practice Location
- Address
- 199 MAIN ST
- City
- Deep River
- State
- Connecticut
- ZIP Code
- 06417-2021
- Phone
- (860) 526-9519
Authorized Official
- Name
- SOONHO KWON, DMD
- Title
- OWNER/DENTIST
- Phone
- (860) 526-9519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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