NPI | 1073012514 |
---|---|
Former Name | CARLI ANTOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 11224) |
Enumeration Date | 2018-02-11 |
Last Update Date | 2023-02-23 |