| NPI | 1285792614 |
|---|---|
| Former Name | FAITH ANGELICA VENTURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401414157) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM DD1937) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2018-03-17 |