| NPI | 1235646753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHAU Partner 212-352-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 053976) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 053902) |
| 1223P0300X Dentist, Periodontics (Licence: NY 053931) | |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2023-03-22 |