| NPI | 1821830365 |
|---|---|
| Doing Business As | PINE TREE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KYU LEE Dentist 804-822-6231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |