NPI | 1255892881 |
---|---|
Entity Type | Organization |
Authorized Contact | CHIA-YIN TAI Manager 202-812-9198 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2019-03-27 |
Last Update Date | 2019-03-27 |