| NPI | 1558761031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOON JOONG ALLAN KWON Member 212-786-2187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CT 010004) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-10-23 |