| Shelton Dentist Llc | |
|
488 Howe Ave Shelton CT 06484-3114 | |
| (646) 918-0949 | |
| Not Available |
| Full Name | Shelton Dentist Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 488 Howe Ave, Shelton, Connecticut |
| Authorized Official Name and Position | Seunghyun Lee (OWNER) |
| Authorized Official Contact | 6469180949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelton Dentist Llc 488 Howe Ave Shelton CT 06484-3114 Ph: (646) 918-0949 | Shelton Dentist Llc 488 Howe Ave Shelton CT 06484-3114 Ph: (646) 918-0949 |
| NPI Number | 1396139465 |
|---|---|
| Provider Enumeration Date | 03/26/2015 |
| Last Update Date | 03/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396139465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010537 (Connecticut) | Primary |
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