| NPI | 1396886727 |
|---|---|
| Former Name | CHONG YUN SHIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 13685) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-02-15 |