NPI | 1003827619 |
---|---|
Other Name | SEEMA MARIE JOSEPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: TX 22612) |
Additional Taxonomies | 122300000X Dentist (Licence: LA 5944) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2021-08-25 |