NPI | 1336227743 |
---|---|
Former Name | GIANIRA MALDANADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D7464) |
Additional Taxonomies | 122300000X Dentist (Licence: MI 2901018076) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2011-06-01 |