| NPI | 1689170318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYUN MIN KIM Dentist 646-761-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019028417) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: IL 019028417) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-04 |