| NPI | 1629309182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAE SOO KIM President 215-699-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS 036075) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |