| 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 |