| NPI | 1104913607 |
|---|---|
| Former Name | LAURA M MENEES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 60047) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2000157779) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-07-21 |