| NPI | 1669908620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY YOO President 917-524-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 50-055536) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |