| NPI | 1487869749 |
|---|---|
| Doing Business As | HARVARDIAN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JUN S SONG Dentist 718-281-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 048211) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 047747) |
| 1223G0001X Dentist, General Practice (Licence: NY 054688) | |
| 1223P0700X Dentist, Prosthodontics (Licence: NY 048958) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-10-03 |