NPI | 1386146314 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA PYUNGHOON LEE Dentist 443-538-4129 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN1856823) |
Enumeration Date | 2018-03-06 |
Last Update Date | 2018-03-06 |