| NPI | 1851954416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONG HEON OH Owner 917-597-8077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2021-04-27 |