Individual
DR. JOOHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
483 MIDDLE TPKE W STE 309, MANCHESTER, CT 06040-3865
(860) 645-0111
Mailing address
665 COMMERCE DR APT 521, FAIRFIELD, CT 06825-5573
(646) 799-0003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13539
CT
1223G0001X
General Practice Dentistry
13539
CT
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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