| NPI | 1902314834 |
|---|---|
| Other Name | ETHAN JAE-YOUNG YOO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 103617) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 00203357) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2022-08-26 |