| NPI | 1790174241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE LEE President 212-255-4337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 048236) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2016-12-30 |