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 |