| NPI | 1083955348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BANGHUN LEE Owner/Dentist 917-669-0693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009903) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |