| NPI | 1376139634 |
|---|---|
| Former Name | SEUNG-HWAN LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 105867) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2024-03-11 |