| NPI | 1346475316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONG UM President 203-255-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 006792) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 007375) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2015-12-07 |