| NPI | 1073359022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK HUA Owner 347-788-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |