| NPI | 1144650763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TANCHULING Owner/Dds 212-348-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 056571) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |