NPI | 1417025255 |
---|---|
Former Name | SUNGKI WILLIAM LEE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401410980) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2020-07-30 |