NPI | 1447502125 |
---|---|
Other Name | ALEX M WON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 31011) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: NY 056341) |
Enumeration Date | 2012-10-05 |
Last Update Date | 2016-05-26 |