NPI | 1316782188 |
---|---|
Former Name | ERIN DOREENA SOLOVAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: CA 1075) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 20034) |
Enumeration Date | 2024-06-25 |
Last Update Date | 2024-06-25 |