NPI | 1346560166 |
---|---|
Other Name | ROY CHUN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25057) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 25057) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2015-12-17 |