| NPI | 1588804983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY Y WANG Administrator 212-744-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 45943) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |