| NPI | 1255580957 |
|---|---|
| Former Name | GABRIELA MERCEDES SARDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 24823) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.027621) |
| 122300000X Dentist (Licence: GA DN013802) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2011-01-24 |