NPI | 1306001045 |
---|---|
Other Name | TANYA SOMOHANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 054786) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 054786) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-07-22 |
Last Update Date | 2019-06-13 |