| NPI | 1902572746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNGMO KANG Owner 201-953-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |