NPI | 1306183371 |
---|---|
Former Name | DINA STAPPERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD LL637) |
Enumeration Date | 2013-01-11 |
Last Update Date | 2020-10-21 |