| NPI | 1881611796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOK-TOW NG President 904-731-0521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 12185) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |