GI TAE KWON

NEW LONDON, CT
NPI1649795964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  11856)
Enumeration Date2017-08-08
Last Update Date2017-08-08
Business Address
Dr. GI TAE KWON DDS
258 S FRONTAGE RD
NEW LONDON, CT 06320-2641
Phone number: 860-437-3462
Mailing Address
Dr. GI TAE KWON DDS
4003 MAPLE TREE LN
EAST LYME, CT 06333-1671
Phone number: 201-707-4661
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