| NPI | 1891259347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON YU LIANG SU Owner 914-500-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |