| 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 | 2021-12-09 |