| NPI | 1174861934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WONG President 917-861-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 055098) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-04-17 |