| NPI | 1134319213 |
|---|---|
| Former Name | SOPHIE ADEBISSI LIAMIDI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 8028) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 23500) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2012-12-04 |