Organization
KINGSTON FAMILY COSMETIC DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KESSY J LEE DDS (PRESIDENT DENTIST)
(856) 795-9007
Entity
Organization
Contact information
Practice address
1034 MARLTON PIKE E, CHERRY HILL, NJ 08034-2400
(856) 795-9007
(856) 795-9060
Mailing address
PO BOX 1980, CHERRY HILL, NJ 08034-0134
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
S2220674
NJ
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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