| NPI | 1154501526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H. LEE President/Owner 718-772-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052270-1) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |