| NPI | 1487831657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAI-MING KEVIN YOUNG Owner/President 917-519-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 049532) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2009-08-30 |