| NPI | 1417219155 |
|---|---|
| Former Name | YEASEUL KIM YOUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA DE 60634529) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 61378) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2024-07-30 |