| NPI | 1972171940 |
|---|---|
| Doing Business As | PRIME DENTAL |
| Entity Type | Organization |
| Authorized Contact | KWANG HAN KIM Owner 718-344-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |