| NPI | 1487826632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN X XUE Oral Surgeon 917-817-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 046816) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 043904) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-06-12 |