| NPI | 1083092662 |
|---|---|
| Other Name | FOREST DENTAL CAFE |
| Entity Type | Organization |
| Authorized Contact | DEMIAN JUNGMOOK KIM President 646-306-5382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 27612) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |