| NPI | 1407004633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN LIM President 212-831-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 0444481) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |