| NPI | 1043576085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOON JOONG ALLAN KWON Member 212-786-2187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |