NPI | 1164041307 |
---|---|
Other Name | LAYA MOHAMED AL BAHRANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO 00204769) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
1223G0001X Dentist, General Practice (Licence: CO DEN.00204769) | |
Enumeration Date | 2020-04-08 |
Last Update Date | 2023-11-16 |