| NPI | 1750140091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE LAU Dentist 718-875-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |