| NPI | 1588868624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H LEE Owner 516-364-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 050381) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 23133) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2012-09-19 |