| NPI | 1326347089 |
|---|---|
| Former Name | DENISE DIMITRA MANIAKOURAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021.002534) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.028614) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2023-10-25 |