| NPI | 1518038090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA S. CHUNG Manager Of LLC 973-773-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ DI19816) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |