NPI | 1174504500 |
---|---|
Former Name | SAPNA J MELCHIORRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 9262) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 5029) |
1223G0001X Dentist, General Practice (Licence: CA 56423) | |
Enumeration Date | 2005-11-11 |
Last Update Date | 2013-01-07 |