| NPI | 1730945148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KIM Pediatric Dentist 516-350-8372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |