| NPI | 1255192910 |
|---|---|
| Doing Business As | IDC DENTAL CARE OF AVE U |
| Entity Type | Organization |
| Authorized Contact | CORNELIUS YEN Partner 347-203-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |