Divine Dental PC

NPI #1235454208 in Flushing, New York

Provider Information

NPI Number: 1235454208
Entity Type: Organization
Organization Name: Divine Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 2, 2010
Last Updated: Apr 2, 2010

Practice Location

Address: 4125 KISSENA BLVD STE 101
City: Flushing
State: New York
ZIP Code: 11355-3153
Phone: (718) 353-2312

Authorized Official

Name: DR. KEVIN SEOKKYU LEE, D.D.S.
Title: DENTIST/OWNER
Phone: (718) 353-2312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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