| NPI | 1770974164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINSUN DAVID FUNG President 718-423-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 057332) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |