| NPI | 1487058715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YON LAI Dentist 718-888-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 42324) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |