| 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) |
| 1223G0001X Dentist, General Practice (Licence: TX 35661) | |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2024-09-13 |