| NPI | 1700105756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKCHAN AHN Owner 718-961-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052609) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 052533) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |