| NPI | 1265088512 |
|---|---|
| Other Name | CHUN-HAN LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D11239) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE60969366) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2020-06-16 |