Individual
DR. SOO JI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
258 S FRONTAGE RD, NEW LONDON, CT 06320-2641
(860) 437-3462
Mailing address
320 BOSTON AVENUE, STRATFORD, CT 06614-5213
(203) 375-1388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011290
CT
Other
Enumeration date
08/30/2015
Last updated
11/16/2016
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