| NPI | 1184504482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YU WANG Owner 718-544-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |