NPI | 1164046207 |
---|---|
Other Name | TAE HWANG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MI 2901601756) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.026134) |
Enumeration Date | 2020-06-04 |
Last Update Date | 2025-03-19 |