NPI | 1174723449 |
---|---|
Former Name | SANDRA BINUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 62319) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN18131) |
Enumeration Date | 2007-07-24 |
Last Update Date | 2013-08-06 |