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Dr. Gi Tae Kwon, DDS
General Practice Dentistry in New London, Connecticut
NPI 1649795964

Gi Tae Kwon is a General Practice Dentistry based in East Lyme, CT and is specialized in General Practice. Gi Tae Kwon practices in New London, CT and has the professional credentials of DDS. The NPI Number for Gi Tae Kwon is 1649795964 and holds a License No. 11856 (Connecticut).

The current practice location address for Gi Tae Kwon is 258 S Frontage Rd, New London, CT and can be reached out via phone at 860-437-3462.

Location: 258 S Frontage Rd, New London, CT, 06333-1671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649795964
Provider Name
Gi Tae Kwon
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
258 S Frontage Rd, New London, CT, 06333-1671
Phone Number
860-437-3462
Fax Number
Provider Enumeration Date
08/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
258 S Frontage Rd
City
New London
State
Connecticut
Zip
06320-2641
Phone Number
860-437-3462
Fax Number
person
Provider Business Mailing Address Details
Address
258 S Frontage Rd
City
New London
State
Connecticut
Zip
06320-2641
Phone Number
860-437-3462
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11856 (Connecticut)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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