| NPI | 1396637120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEOIJIN KIM President 718-757-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |