NPI | 1407168198 |
---|---|
Other Name | SOOYUON CHUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 25511) |
Enumeration Date | 2010-07-09 |
Last Update Date | 2010-08-26 |