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 |