| NPI | 1003537945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARNG SHING JEAN Owner 494-551-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2022-09-08 |