| NPI | 1003097734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LEUNG President 210-653-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02239900) |
| Enumeration Date | 2007-11-22 |
| Last Update Date | 2007-11-22 |