| NPI | 1427680776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA FUNG President/Orthodontist 212-966-9628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |