Organization
THE LITTLE TOOTH COMPANY PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON LEUNG DMD (OWNER)
(860) 426-2643
Entity
Organization
Contact information
Practice address
264 QUEEN ST, SUITE A, SOUTHINGTON, CT 06489-1901
(617) 872-5105
Mailing address
264 QUEEN ST, SUITE A, SOUTHINGTON, CT 06489-1901
(617) 872-5105
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9915
CT
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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