NPI | 1336222389 |
---|---|
Former Name | SARAH DEMARCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: PA DS031505L) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA MD433912) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA OMS 66) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS031505-L) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA A93976) | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2024-11-22 |