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
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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