| NPI | 1447850292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KIM President 201-705-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2021-01-05 |