| NPI | 1740005305 |
|---|---|
| Doing Business As | DENTAL STUDIO 101 |
| Entity Type | Organization |
| Authorized Contact | SEALAH LEE Owner 516-508-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |