NPI | 1205491834 |
---|---|
Former Name | CHRISTINA YIDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL 23736) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02752300) |
122300000X Dentist (Licence: FL 23736) | |
Enumeration Date | 2019-05-09 |
Last Update Date | 2024-08-12 |