| NPI | 1376722033 |
|---|---|
| Other Name | DIANE MARIE RAY ENGROFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS035437) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2012-02-07 |