| NPI | 1700632833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RHEE Member 914-479-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |