NPI | 1043623473 |
---|---|
Former Name | KAREN LYN ZIARNOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: MI 2901021204) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 1858589) |
204E00000X Oral & Maxillofacial Surgery (Licence: MA 283018) | |
Enumeration Date | 2014-06-03 |
Last Update Date | 2021-07-01 |