NPI | 1063893295 |
---|---|
Entity Type | Organization |
Authorized Contact | EUGENE JUNG KIM Owner 303-513-7371 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: AZ D9251) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2015-06-12 |