| NPI | 1093120529 |
|---|---|
| Former Name | LAURA SEDRAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30-024676) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH RES 3411) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2016-05-13 |