NPI | 1194797589 |
---|---|
Former Name | MONICA JOYCE ARELLANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO DEN-7243) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 7243) |
1223G0001X Dentist, General Practice (Licence: CO DEN-7243) | |
122300000X Dentist (Licence: CA 53509) | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2022-06-13 |