NPI | 1649303389 |
---|---|
Former Name | RONNIE HONG-JENG CHEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA DB34076) |
Additional Taxonomies | 122300000X Dentist (Licence: CA DB34076) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2025-03-21 |