| NPI | 1447824040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHINYOUNG GOH Dentist 347-463-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-09-03 |