NPI | 1144517582 |
---|---|
Former Name | BRIDGETT SABAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D009062) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 60460) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2015-10-22 |