| NPI | 1659197770 |
|---|---|
| Former Name | HEE RYANG JOO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401419374) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: PA DS044989) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-08-11 |