NPI | 1255405031 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN SOKYONG OM President 718-460-1802 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NY 047927) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2011-03-31 |