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 |