| NPI | 1942911524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUCHEN SHENG Managing Member 215-703-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |