| NPI | 1750739892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM MING AN LEE President 202-423-8867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401414622) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |