| NPI | 1225058142 |
|---|---|
| Former Name | CECILE C DECLARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048398) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02144700) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |