| NPI | 1265980189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW XU Member Manager 646-662-3105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23524) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |