NPI | 1205177292 |
---|---|
Entity Type | Organization |
Authorized Contact | HYEONG CHAN KIM President 917-962-9990 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 055881-1) |
Enumeration Date | 2013-03-15 |
Last Update Date | 2013-03-15 |