Yoon, Brian

Yoon, Brian is an individual health care provider with primary practice located at 935 Main St Ste 104A , Manchester CT 06040-6050. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Yoon, Brian can be contacted via phone (860) 649-0238.

Contact Information

Primary practice address
935 Main St Ste 104A Manchester CT 06040-6050
Phone: (860) 649-0238
Fax: (860) 645-7515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 21184 Massachusetts

Profile Details

NPI number 1598710352
LBN Legal business name Yoon, Brian
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598710352 NPPES
Massachusetts MEDICAID 0204188

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