NPI | 1023118973 |
---|---|
Other Name | DONALD ALLEN KWARCIANY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901014807) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 4883015) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2024-10-02 |