| NPI | 1225269046 |
|---|---|
| Former Name | MENGTAO GUO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020128) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.023090) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2022-03-28 |