| NPI | 1295113355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEULLKI KIM President 646-342-3951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DN1855408) |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2016-07-08 |