Organization
BETHANY SR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN LEE DDS (OFFICER)
(949) 394-3378
Entity
Organization
Contact information
Practice address
2 LONG RIDGE RD, REDDING, CT 06896-1111
(203) 664-1994
Mailing address
2 LONG RIDGE RD, REDDING, CT 06896-1111
(203) 664-1994
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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