NPI | 1528420056 |
---|---|
Other Name | VIVIAN HWANGBO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02761200) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 060375) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-23 |
Last Update Date | 2023-08-14 |