| NPI | 1528413416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NGUYEN President 917-612-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 057236) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |