NPI | 1194193094 |
---|---|
Entity Type | Organization |
Authorized Contact | KIGONS SONG Owner 646-369-6918 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
Enumeration Date | 2015-09-09 |
Last Update Date | 2015-09-09 |