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 |