| NPI | 1285315499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA KANG Physician, Owner 636-484-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-01-08 |