| NPI | 1588312268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LE President 201-375-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2023-09-06 |