NPI | 1326104431 |
---|---|
Former Name | JANINE KARA ELLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 051959) |
Enumeration Date | 2007-01-01 |
Last Update Date | 2016-06-10 |