NPI | 1750041273 |
---|---|
Entity Type | Organization |
Authorized Contact | JOON SEOK CHO Owner/Dentist 201-661-4665 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2021-12-23 |
Last Update Date | 2021-12-23 |