| NPI | 1336400852 |
|---|---|
| Former Name | MARIA DE PAOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NJ 22DI02148700) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: NY 039756) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |