| NPI | 1073715314 |
|---|---|
| Former Name | ROXANNE HARIRI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410979) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 13395) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |