| NPI | 1245797851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEULLKI KIM Prosthodontist 646-342-3951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |