| NPI | 1497919948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANG HOYK KWON Owner 317-872-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011161A) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |