NPI | 1174958516 |
---|---|
Doing Business As | REGO PARK DENTAL CARE |
Entity Type | Organization |
Authorized Contact | HYEONG CHAN KIM Dentist 718-565-5445 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 055881-1) |
Enumeration Date | 2013-09-04 |
Last Update Date | 2013-09-09 |