| NPI | 1780072165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOONSUN KIM Doctor 914-632-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 049857) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |