| NPI | 1477961738 |
|---|---|
| Other Name | JENNA CHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WA DE61127216) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 101464) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2021-12-13 |