NPI | 1265955017 |
---|---|
Former Name | JANEL NICOLE KALAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WV 4268) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WV 4268) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2023-08-28 |