| NPI | 1235454208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SEOKKYU LEE Dentist/Owner 718-353-2312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052968-1) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2010-04-02 |