| NPI | 1063658805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LEE CHAN Partner 212-349-9682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY NY044175) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY NY044346) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |