Individual
JASON LEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 LAKE ST, NEW BRITAIN, CT 06052-1396
(860) 224-2142
Mailing address
1 LAKE ST, NEW BRITAIN, CT 06052-1396
(860) 224-2142
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9915
CT
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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