NPI | 1841316148 |
---|---|
Former Name | DENISE DZUNG TU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13040) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 34201) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2007-07-08 |