NPI | 1093106825 |
---|---|
Former Name | FLORENCE C. KWO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 62621) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 62621) |
Enumeration Date | 2015-02-16 |
Last Update Date | 2018-03-17 |