| NPI | 1285867796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOON JOONG ALLAN KWON Dentist 212-786-2187 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CT 10004) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 10110) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2014-04-03 |