| NPI | 1225131162 |
|---|---|
| Other Name | KELLY RUTH MAGLIOCCA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DN015812) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WI 5689-15) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901017624) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2024-04-08 |