| NPI | 1245612282 |
|---|---|
| Former Name | MONICA MALDONADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 10195) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1856930) |
| 1223G0001X Dentist, General Practice (Licence: NC 10195) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2024-10-31 |