NPI | 1053076703 |
---|---|
Former Name | SMRITI RAJAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA DDS111178) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: WA DE61231043) |
Enumeration Date | 2021-11-07 |
Last Update Date | 2025-04-12 |