| NPI | 1306588785 |
|---|---|
| Doing Business As | ICY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BOYD KING TUNG YU Owner 657-888-2693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |