Individual
DR. SOOLIM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
666 CAMPBELL AVE, WEST HAVEN, CT 06516-3775
(203) 889-2611
Mailing address
1450 WASHINGTON BLVD, 606S, STAMFORD, CT 06902-2451
(516) 987-8921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11206
CT
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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