| NPI | 1053573790 |
|---|---|
| Former Name | TERESEA S MONIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IA 08795) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: RI LD00035) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: IA 30288) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2019-11-05 |