| NPI | 1902940943 |
|---|---|
| Former Name | JOON CHUN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 49499) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 5077110) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2022-02-02 |