NPI | 1255695243 |
---|---|
Entity Type | Organization |
Authorized Contact | TAEHEON KANG Periodontis 954-536-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: VA 0401-413327) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2012-06-25 |