| Kingston Family Cosmetic Dental Center Llc | |
|
1034 Marlton Pike E Cherry Hill NJ 08034-2400 | |
| (856) 795-9007 | |
| (856) 795-9060 |
| Full Name | Kingston Family Cosmetic Dental Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 1034 Marlton Pike E, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Kessy J Lee (PRESIDENT DENTIST) |
| Authorized Official Contact | 8567959007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingston Family Cosmetic Dental Center Llc Po Box 1980 Cherry Hill NJ 08034-0134 Ph: () - | Kingston Family Cosmetic Dental Center Llc 1034 Marlton Pike E Cherry Hill NJ 08034-2400 Ph: (856) 795-9007 |
| NPI Number | 1881607885 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881607885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | S2220674 (New Jersey) | Primary |
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