NPI | 1033446901 |
---|---|
Former Name | CATHERINE KALIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 107333) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1855030) |
Enumeration Date | 2009-11-12 |
Last Update Date | 2022-04-11 |