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Organization
PINE TREE DENTAL CARE PLLC
Active
Organization
PINE TREE DENTAL CARE PLLC
Active
Other names
Pine Tree Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
KYU LEE VA, MD (DENTIST)
(804) 822-6231
Entity
Organization
Contact information
Practice address
14411 JUSTICE RD STE C, MIDLOTHIAN, VA 23113-6907
(804) 822-6231
Mailing address
14411 JUSTICE RD STE C, MIDLOTHIAN, VA 23113-6907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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