| NPI | 1326306945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYUN-WON SHIN Dentist 860-263-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009410) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |