NPI | 1093099327 |
---|---|
Former Name | CHRISTIANE MARIE COLOMBERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: UT 8025980-9921) |
Additional Taxonomies | 122300000X Dentist (Licence: UT 8025980-8903) |
Enumeration Date | 2011-10-05 |
Last Update Date | 2020-12-04 |