NPI | 1760618284 |
---|---|
Entity Type | Organization |
Authorized Contact | SANG PHAM Manager 646-400-3630 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30-022960) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2009-06-10 |