Organization
DERBYDDS, P.C.
Active
Other names
DENTAL DOCS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IN KYUNG LEE (OWNER)
(201) 820-5053
Entity
Organization
Contact information
Practice address
49 PERSHING DR STE 5A, DERBY, CT 06418-1406
(203) 800-9757
Mailing address
49 PERSHING DR STE 5A, DERBY, CT 06418-1406
(203) 800-9757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
03/27/2023
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