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 |