| NPI | 1891201315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL CHUNG Dentist 718-427-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 15389) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2020-10-07 |