| NPI | 1104830918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAN JONG KANG President 718-238-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 048768) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |