| NPI | 1427227545 |
|---|---|
| Doing Business As | PROSPERITY PARK CENTER FOR DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TOMMY LEE KIM Owner/Doctor 704-948-5684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 7145) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |