Organization
KIDS DENTAL SPECIALISTS LLC
Active
Other names
Tooth Fairy Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUHO LEE DDS (MEMBER)
(203) 403-2525
Entity
Organization
Contact information
Practice address
345 MAIN ST, DANBURY, CT 06810-5847
(203) 403-2525
(203) 403-2545
Mailing address
345 MAIN ST, DANBURY, CT 06810-5847
(203) 403-2525
(203) 403-2545
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
009091
CT
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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