| NPI | 1346753761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEO YEON YU President 845-634-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053240) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |