| NPI | 1487902136 |
|---|---|
| Other Name | JAMIE HYEWON CHUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA DDS64625) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA DL11707) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2020-06-22 |