NPI | 1245468842 |
---|---|
Other Name | VANESSA BENAVENT ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: MD 14555) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 14555) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2019-10-01 |