| NPI | 1124546759 |
|---|---|
| Former Name | SAPNA MARY VARGHESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 35661) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 319020673) |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2021-09-07 |