| NPI | 1588752828 |
|---|---|
| Doing Business As | FORMAN, MARQOLIES, NATKIN, HUNG |
| Entity Type | Organization |
| Authorized Contact | RICHMOND D HUNG Dentist Partner 203-932-5818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 8488) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223G0001X Dentist, General Practice (Licence: CT 4428) | |
| 1223G0001X Dentist, General Practice (Licence: CT 4366) | |
| 1223G0001X Dentist, General Practice (Licence: CT 9456) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-05-16 |