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 |