| NPI | 1316251713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY KIM Owner 914-946-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 044694) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |