| NPI | 1770851768 |
|---|---|
| Doing Business As | LEO DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TAE CHUL HO Owner/Partner 860-342-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |