| NPI | 1346453750 |
|---|---|
| Other Name | SUSAN MAYER DANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-019375) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IL 020-005159) |
| 124Q00000X Dental Hygienist (Licence: IL 020-008832) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |