| NPI | 1265421986 |
|---|---|
| Former Name | CONCHA M. ADAMICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02582800) |
| Additional Taxonomies | 122300000X Dentist (Licence: NM DD2554) |
| 1223G0001X Dentist, General Practice (Licence: PA DS039544) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2018-06-20 |