| NPI | 1639655764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNG-GIN YOON Manager/Member 845-561-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 048787) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |