| NPI | 1144541095 |
|---|---|
| Former Name | JESSICA JINHEE LEE HERTIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL D.6440C) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO DEN.00010662) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2022-04-20 |