| NPI | 1205197142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QIAO LING GUO President 646-248-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 0541881) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-09-24 |