| NPI | 1417129974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEE JOON KWAK Owner 718-991-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051024-1) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |