| NPI | 1013394626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD CHEN President 718-651-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 055680) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |