NPI | 1134316128 |
---|---|
Former Name | EMILIA TOLARBA HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38694) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 38694) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2007-10-03 |