| NPI | 1134628415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNG-HUN KIM President 917-442-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 051275) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NY 051532) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |