NPI | 1164144879 |
---|---|
Entity Type | Organization |
Authorized Contact | DAN D HOANG Owner Dentist 848-250-2837 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-09-19 |
Last Update Date | 2022-09-19 |