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1629189980
MOON SOO LEE
FAIRFIELD, CT
NPI
1629189980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 7414)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. MOON SOO LEE dds
2397 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3229
Phone number: 203-372-8961
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Mailing Address
Dr. MOON SOO LEE dds
2397 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3229
Phone number: 203-372-8961
Copy
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