| NPI | 1760900690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE WOO Shareholder 201-916-5579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 057916-1) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2018-03-17 |