| NPI | 1851801153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ZHOU Office Manager 646-577-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28128) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |