Organization
DYNAMIC SMILE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LEE DDS (SOLE PROPRIETOR)
(212) 219-8230
Entity
Organization
Contact information
Practice address
80 BOWERY, ROOM #400, NEW YORK, NY 10013-4614
(212) 219-8230
Mailing address
80 BOWERY, ROOM #400, NEW YORK, NY 10013-4614
(212) 219-8230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051245
NY
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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