NPI | 1083776538 |
---|---|
Former Name | SONJA BOJKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 17880) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D11672) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2007-07-08 |