| NPI | 1922699222 |
|---|---|
| Former Legal Business Name | DR.LEE COSMETIC DENTISTRY |
| Doing Business As | NIRVANA DENTAL |
| Entity Type | Organization |
| Authorized Contact | YIJIA LI President 857-540-1532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-04-29 |