| NPI | 1285667972 |
|---|---|
| Former Name | KYUNG WON CHUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 51563) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20693) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2015-09-21 |