| NPI | 1063690113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN NGUYEN Dentist 718-803-7326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051335) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |