NPI | 1376716548 |
---|---|
Former Name | SARAH CHRISTINA PUZEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MO 2007000508) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019027179) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2015-03-09 |