NPI | 1104951557 |
---|---|
Former Name | BABAN DHARIWAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 64247) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN16698) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2022-01-25 |