| NPI | 1689926818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONGJIN LEE Member 212-600-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 054569) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 055205) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2013-03-12 |