NPI | 1013282110 |
---|---|
Former Name | MARIA NICOLE SALNIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413500) |
Additional Taxonomies | 122300000X Dentist (Licence: VA 0401413500) |
1223G0001X Dentist, General Practice (Licence: MD 16756) | |
Enumeration Date | 2012-03-21 |
Last Update Date | 2021-03-08 |