| NPI | 1326264086 |
|---|---|
| Former Name | AGNIESZKA BEATA GOOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02304500) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 053843-1) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-09-12 |