| NPI | 1215158506 |
|---|---|
| Other Name | NINA LEA WILE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA D5018277L) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |