| NPI | 1396294344 |
|---|---|
| Doing Business As | FANTASTIC DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | RYAN CHIOU President 908-251-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |