JONATHAN GWAN

NORWICH, CT
NPI1912128877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  9420)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Dr. JONATHAN GWAN dds
1 CLINIC DR
NORWICH, CT 06360
Phone number: 860-889-4044
Mailing Address
Dr. JONATHAN GWAN dds
25 BROAD ST EXT APT B 315
GROTON, CT 06340
Phone number: 917-385-8182