NPI | 1659498111 |
---|---|
Other Name | WILL EUNKU CHUNG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WA DE00010169) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX F-23123) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2011-09-28 |