NPI | 1972779387 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA H CHAN Director 212-813-0850 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050694) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 050301) |
Enumeration Date | 2008-05-06 |
Last Update Date | 2008-05-06 |