| NPI | 1962919241 | 
|---|---|
| Other Name | BRYAN NOH | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401417337) | 
| Additional Taxonomies | 122300000X Dentist (Licence: MA dn1857110) | 
| Enumeration Date | 2018-01-08 | 
| Last Update Date | 2024-01-25 |