Individual
EVAN HYUNHO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2100 DIXWELL AVE, HAMDEN, CT 06514-2406
(203) 288-3000
Mailing address
185 CANAL ST UNIT 3083, SHELTON, CT 06484-8139
(646) 301-7256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11873
CT
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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