| NPI | 1972893352 |
|---|---|
| Doing Business As | BUCKLAND HILLS DENTAL |
| Entity Type | Organization |
| Authorized Contact | TAE CHUL HO Dentist 860-342-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009846) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 009920) |
| 1223G0001X Dentist, General Practice (Licence: CT 009785) | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2014-05-12 |