| NPI | 1700035649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA FUNG President 212-966-9628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 050354-1) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2023-05-15 |