| NPI | 1609268069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY CHUNG Orthodontist 347-962-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 056881) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |