Organization
SNL DENTISRTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YUAN LI DDS (OWNER)
(203) 873-0076
Entity
Organization
Contact information
Practice address
1201 KINGS HWY, FAIRFIELD, CT 06824-5319
(203) 873-0076
(203) 873-0079
Mailing address
1201 KINGS HWY, FAIRFIELD, CT 06824-5319
(203) 873-0076
(203) 873-0079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/07/2015
Last updated
04/01/2016
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