| NPI | 1912364860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IN KYUNG LEE General Dentist 203-235-4930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT CT011025) |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2023-03-28 |