| NPI | 1891683009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEUNGHYUN JAE Owner 917-848-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-09-12 |