| NPI | 1174920946 |
|---|---|
| Former Name | HYUN JOO KANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 30527) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2018-07-27 |