NPI | 1811367972 |
---|---|
Former Name | SINHEE HONG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA DDS-09454) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02619000) |
1223G0001X Dentist, General Practice (Licence: PA DS040584) | |
Enumeration Date | 2015-10-01 |
Last Update Date | 2022-07-21 |