| NPI | 1053625129 |
|---|---|
| Former Name | DINA ROSE MARGALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59095) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 59095) |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2021-01-12 |