| NPI | 1124455829 |
|---|---|
| Former Name | MARY RUTH CACHO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00203497) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 28880) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2019-02-14 |