| NPI | 1316510928 |
|---|---|
| Former Name | CELINA MARIE PRINCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 106667) |
| Additional Taxonomies | 122300000X Dentist (Licence: MS 111700) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2025-11-19 |