NPI | 1417186875 |
---|---|
Former Name | PHING DONG-NEWSOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.023034) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-023034) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2019-08-13 |