DIVINE DENTAL PC
Dentist at Kissena Blvd, Flushing, NY

License number
New York 052968-1
Category
Dentist
Type
General Practice
Owner
Name: DR. KEVIN SEOKKYU LEE D.D.S.
Title: DENTIST/OWNER
Phone: (718) 353-2312
Address
Address
4125 Kissena Blvd STE 101, Flushing, NY 11355
National Provider ID: 1235454208
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DIVINE DENTAL PC

Flushing, NY

Industry:
Dentist's Office
Registration:
Mar 16, 2010
Addresses:
41-25 Kissena Blvd STE 101, Flushing, NY 11355 (Physical)
4125 Kissena Blvd, Flushing, NY 11355
State ID:
3924968
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Family And General Dentistry, Owner:
Kevin S Lee (Family And General Dentistry, Owner), 41-25 Kissena Blvd STE 101, Flushing, NY 11355 (Physical)

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