NPI 1003109851

Sueyoung Chi, DDS

Practitioner General Practice Dentistry Manchester, CT

Practice location

Address: 194 Buckland Hills Dr STE 1076, Manchester, CT 06042-8785
Phone: (860) 644-0099
Fax: (860) 644-0109
Mailing address: 194 Buckland Hills Dr Suite 1076, Manchester, CT 06042

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 010439 (CT)

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Registry record

NPI: 1003109851
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2011
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.