| NPI | 1942450929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOON JUNG KANG Owner 219-769-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 120109138) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |