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Organization

WESTPORT PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GORDON K. LEE D.D.S. (PRESIDENT)
(203) 226-5500
Entity
Organization

Contact information

Practice address
305 POST RD E, WESTPORT, CT 06880-3613
(203) 226-5500
(203) 226-5501
Mailing address
305 POST RD E, WESTPORT, CT 06880-3613
(203) 226-5500
(203) 226-5501

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10577
CT

Other

Enumeration date
09/16/2012
Last updated
09/16/2012
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