NPI | 1295990869 |
---|---|
Former Name | BAHAREH ZYAEI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 0019026790) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 019-026790) |
1223P0300X Dentist, Periodontics (Licence: FL DN19993) | |
Enumeration Date | 2008-07-23 |
Last Update Date | 2022-08-31 |