NPI | 1154539922 |
---|---|
Former Name | HYE-RAN RO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02274600) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS037116) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2017-03-28 |