NPI | 1740665058 |
---|---|
Other Name | JAE MI CHO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 132866) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 31289) |
Enumeration Date | 2015-07-28 |
Last Update Date | 2018-08-29 |