NPI | 1003963398 |
---|---|
Former Name | HUNG SEOK CHOI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 8358) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 49496) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2012-11-30 |