Individual
PIT KEUNG PETER LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
263 MAIN ST, OLD SAYBROOK, CT 06475-2326
(860) 388-4433
(860) 347-4429
Mailing address
635 MAIN ST, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008403
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236354
—
CT
Enumeration date
07/05/2005
Last updated
08/19/2008
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