NPI | 1154349066 |
---|---|
Professional Name | TASSIA M LABOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS026937L) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS026937L) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2019-06-04 |