| NPI | 1255567053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE Y WANG Owner/Dds 917-584-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 052336) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |