NPI | 1346757713 |
---|---|
Doing Business As | DENTAL PARK |
Entity Type | Organization |
Authorized Contact | YOUNGSIL JO Member 718-309-1121 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-01-06 |
Last Update Date | 2018-01-06 |