Organization
K & L DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANGHUN LEE D.D.S (OWNER/DENTIST)
(917) 669-0693
Entity
Organization
Contact information
Practice address
629 ALBANY AVE, HARTFORD, CT 06112-2334
(917) 669-0693
Mailing address
629 ALBANY AVE, HARTFORD, CT 06112-2334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009903
CT
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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