NPI | 1841764313 |
---|---|
Other Name | BEAM ST. |
Entity Type | Organization |
Authorized Contact | LEWIS CHEN Practice Partner 917-513-6419 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 122300000X Dentist |
1223G0001X Dentist, General Practice | |
124Q00000X Dental Hygienist | |
126800000X Dental Assistant | |
Enumeration Date | 2019-01-17 |
Last Update Date | 2020-02-10 |