| NPI | 1912490301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY HOU President 917-557-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 65121) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |