NPI | 1053725457 |
---|---|
Former Name | ASHLEY ALI AMINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA DN1856533) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MA DN1856533) |
Enumeration Date | 2014-06-13 |
Last Update Date | 2022-07-21 |