# KINGSTON FAMILY COSMETIC DENTAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881607885
- **Authorized official:** DR. KESSY J LEE DDS (PRESIDENT DENTIST)
- **Authorized official phone:** (856) 795-9007

## Contact information

- **Practice address:** 1034 MARLTON PIKE E, CHERRY HILL, NJ 08034-2400
- **Practice address phone:** (856) 795-9007
- **Practice address fax:** (856) 795-9060
- **Mailing address:** PO BOX 1980, CHERRY HILL, NJ 08034-0134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | S2220674 | NJ | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 08/22/2020