| NPI | 1578045258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JUWON PARK President 347-408-8673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 056491) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |