| NPI | 1477614550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUN Y. LEE Business Owner 301-220-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 10460) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-01-21 |