Kyle Kyoungroh Lee

NPI #1639879943 in Deep River, Connecticut

Provider Information

NPI Number: 1639879943
Entity Type: Individual
Name: Kyle Kyoungroh Lee
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 6, 2023
Last Updated: Sep 13, 2024

Practice Location

Address: 199 MAIN ST
City: Deep River
State: Connecticut
ZIP Code: 06417-2021
Phone: (860) 526-9519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

Provider Name	Specialty	City
Deep River Family Dental Pllc	Dentist - General Practice	Deep River	AI Deep Dive

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