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Organization
SHELTON DENTIST LLC
Active
Organization
SHELTON DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEUNGHYUN LEE (OWNER)
(646) 918-0949
Entity
Organization
Contact information
Practice address
488 HOWE AVE, SHELTON, CT 06484-3114
(646) 918-0949
Mailing address
488 HOWE AVE, SHELTON, CT 06484-3114
(646) 918-0949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010537
CT
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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