| 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 |