| NPI | 1265640825 |
|---|---|
| Former Name | ANGELA MARIE BUNETA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 6321) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 018668) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-10-01 |