| NPI | 1184065294 |
|---|---|
| Former Name | CLIO VIDICAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: FL DN23503) |
| Additional Taxonomies | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: MT 25780) |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: MN D13261) | |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: TN 11848) | |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: MI 2901600790) | |
| 122300000X Dentist (Licence: MT 25780) | |
| 122300000X Dentist (Licence: TN 11848) | |
| 122300000X Dentist (Licence: MN D13261) | |
| 122300000X Dentist (Licence: MI 2901600790) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2024-02-29 |