NPI | 1023456753 |
---|---|
Other Name | JIN HA SUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE61516940) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 29005) |
1223D0001X Dentist, Dental Public Health (Licence: WA DE61516940) | |
Enumeration Date | 2013-06-04 |
Last Update Date | 2024-04-15 |