Organization
PURE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E LEE DDS (PRESIDENT)
(718) 886-9555
Entity
Organization
Contact information
Practice address
14748 ROOSEVELT AVE, SUITE #L-6, FLUSHING, NY 11354-4706
(718) 886-9555
(718) 886-9557
Mailing address
14748 ROOSEVELT AVE, SUITE #L-6, FLUSHING, NY 11354-4706
(718) 886-9555
(718) 886-9557
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
049108
NY
Other
Enumeration date
12/15/2007
Last updated
12/15/2007
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