| NPI | 1376767475 |
|---|---|
| Former Name | SARAH SOHYUN BONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 00203802) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401411892) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-01-06 |