| NPI | 1609372598 |
|---|---|
| Former Name | JAEHEE JEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 105277) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 105277) |
| 122300000X Dentist (Licence: FL DN23879) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN23879) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2021-06-23 |