| NPI | 1528429321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM MING-AN LEE Owner 202-423-8867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 15259) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |