Individual
DR. MOON SOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2397 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3229
(203) 372-8961
(203) 372-1948
Mailing address
2397 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3229
(203) 372-8961
(203) 372-1948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7414
CT
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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