| NPI | 1720604903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY YOON Business Manager 201-509-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |