NPI | 1790178689 |
---|---|
Doing Business As | EVERSMILE DENTAL |
Entity Type | Organization |
Authorized Contact | WON JUN JUNG Dentist 347-633-1909 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 28626) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 28107) |
Enumeration Date | 2015-03-16 |
Last Update Date | 2015-03-16 |