Kyle Kyoungroh Lee
Kyle Kyoungroh Lee is a Student in an Organized Health Care Education/Training Program in Deep River, Connecticut. Practices as a sole proprietor and works from 2 locations. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
199 Main StDeep River, CT 06417-2021
Phone: (860) 526-9519
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 725 E Main St, Meriden, CT 06450-6005 — (203) 235-4930
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 14130 (CT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1639879943 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2023 |
| Last updated in NPPES | September 13, 2024 |
| Certification date | September 13, 2024 |
Other providers in Deep River
-
Corrine Lake Sieser
303 Winthrop Rd, Deep River, CT 06417-1668 · (860) 304-9201