Individual
DR. SUSAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
323 MAIN ST, WEST HAVEN, CT 06516-4424
(203) 937-7181
(203) 937-1940
Mailing address
323 MAIN STREET, WEST HAVEN, CT 06516-1638
(203) 937-7181
(203) 937-1940
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
009701
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008002457
—
CT
Enumeration date
06/11/2007
Last updated
12/20/2013
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