| NPI | 1720368038 |
|---|---|
| Former Name | CHRISTINE PAHNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS038857) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401414767) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2015-08-07 |