| Pediatric Dentistry Of Litchfield County, Llc | |
|
148 Migeon Ave Torrington CT 06790-4817 | |
| (860) 482-9578 | |
| Not Available |
| Full Name | Pediatric Dentistry Of Litchfield County, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 148 Migeon Ave, Torrington, Connecticut |
| Authorized Official Name and Position | Lawrence Ying Lee (MEMBER) |
| Authorized Official Contact | 8604829578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Litchfield County, Llc 148 Migeon Ave Torrington CT 06790-4817 Ph: (860) 482-9578 | Pediatric Dentistry Of Litchfield County, Llc 148 Migeon Ave Torrington CT 06790-4817 Ph: (860) 482-9578 |
| NPI Number | 1972721876 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972721876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 009402 (Connecticut) | Primary |
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