NPI | 1285046243 |
---|---|
Former Name | SAHAR MARIE PARVANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.024230) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30.024230) |
Enumeration Date | 2014-05-27 |
Last Update Date | 2023-01-20 |