DR. Kenly Lewis Dine, DDS
NPI #1003252917 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1003252917
- Entity Type
- Individual
- Name
- DR. Kenly Lewis Dine, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 18, 2013
- Last Updated
- Aug 25, 2020
Practice Location
- Address
- 4140 RAMSEY ST
- Address 2
- SUITE 104
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28311-7672
- Phone
- (910) 670-6321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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