NPI | 1225386576 |
---|---|
Former Name | ANITA NEELA BHAVNANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 60897) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2019-01-28 |