| NPI | 1790035897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON K. LEE President 203-226-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 10577) |
| Enumeration Date | 2012-09-16 |
| Last Update Date | 2012-09-16 |