| 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 |