| NPI | 1093105629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHEN CEO 267-254-9496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS035783) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |