NPI | 1336772664 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES KANG Owner 201-345-8881 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2020-02-14 |
Last Update Date | 2020-02-14 |