NPI | 1306928023 |
---|---|
Other Name | EMILY M RADOSEVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019027050) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019027050) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2014-10-07 |