Organization
BRILLIANT SMILE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IN KYUNG LEE DDS (GENERAL DENTIST)
(203) 235-4930
Entity
Organization
Contact information
Practice address
725 E MAIN ST, MERIDEN, CT 06450-6005
(203) 235-4930
Mailing address
725 E MAIN ST, MERIDEN, CT 06450-6005
(203) 235-4930
(203) 235-4932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CT011025
CT
Other
Enumeration date
01/24/2016
Last updated
03/28/2023
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