| NPI | 1386034999 |
|---|---|
| Former Name | MEERA MARIAM GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 30670) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TX 30670) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-05-29 |