NPI | 1982193694 |
---|---|
Former Name | PAI HAN CHENG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 39406) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1858042) |
Enumeration Date | 2018-05-08 |
Last Update Date | 2023-07-11 |