| NPI | 1972721876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE YING LEE Member 860-482-9578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 009402) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |