| NPI | 1437595915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTEBAN CHAN Doctor/Dentist 212-680-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 048173) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |