| NPI | 1205344819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY CHENG Owner 212-233-4934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 058525) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |