SPH3 ENTERPRISE, LLC

MANCHESTER, CT
NPI1972893352
Doing Business AsBUCKLAND HILLS DENTAL
Entity TypeOrganization
Authorized ContactTAE CHUL HO
Dentist
860-342-4141
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  009846)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: CT  009920)
1223G0001X Dentist, General Practice
(Licence: CT  009785)
1223P0106X Dentist, Oral and Maxillofacial Pathology
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2011-04-19
Last Update Date2014-05-12
Business Address
SPH3 ENTERPRISE, LLC
194 BUCKLAND HILLS DR
MANCHESTER, CT 06042-8705
Phone number: 860-342-4141
Mailing Address
SPH3 ENTERPRISE, LLC
553 PORTLAND-COBALT RD
PORTLAND, CT 06480
Phone number: 860-342-4141