NPI | 1285107235 |
---|---|
Former Name | ERIN HONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 106236) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 060030-1) |
Enumeration Date | 2019-01-02 |
Last Update Date | 2024-08-08 |