| NPI | 1063613875 |
|---|---|
| Former Name | ANDREIA MINASIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CA 36263) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2014-02-18 |