Provider Demographics
NPI:1871052746
Name:DR. H DENTAL CARE LLC
Entity type:Organization
Organization Name:DR. H DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOCHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-637-1115
Mailing Address - Street 1:1212 E PUTNAM AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CT
Mailing Address - Zip Code:06878-1431
Mailing Address - Country:US
Mailing Address - Phone:203-637-1115
Mailing Address - Fax:203-637-0848
Practice Address - Street 1:1212 E PUTNAM AVE STE 2
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CT
Practice Address - Zip Code:06878-1431
Practice Address - Country:US
Practice Address - Phone:203-637-1115
Practice Address - Fax:203-637-0848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty