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 |