Lee, Moon Soo

Lee, Moon Soo is an sole proprietor health care provider with primary practice located at 2397 Black Rock Tpke , Fairfield CT 06825-3229. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lee, Moon Soo can be contacted via phone (203) 372-8961.

Contact Information

Primary practice address
2397 Black Rock Tpke Fairfield CT 06825-3229
Phone: (203) 372-8961
Fax: (203) 372-1948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7414 Connecticut

Profile Details

NPI number 1629189980
LBN Legal business name Lee, Moon Soo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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