| NPI | 1285040980 |
|---|---|
| Other Name | TED V TSO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: OH 30.027372) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MA DL12713) |
| 1223P0700X Dentist, Prosthodontics (Licence: CA DDS100123) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2024-04-04 |