| NPI | 1922439413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA LISIN CHANG Dentist 212-858-9266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 056367) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2016-08-24 |