| NPI | 1033462817 |
|---|---|
| Former Name | SAMIRA AKHAVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 11318168-9921) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 61893) |
| 122300000X Dentist (Licence: TX 28689) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2022-10-17 |