Organization
SMILE ARK PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUNICE LEE DMD (DENTIST)
(617) 372-2532
Entity
Organization
Contact information
Practice address
2480 BLACK ROCK TPKE # S1, FAIRFIELD, CT 06825-2418
(203) 763-4200
(203) 763-4232
Mailing address
354 WHEELERS FARMS RD UNIT 102, MILFORD, CT 06461-1803
(617) 372-2532
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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