| NPI | 1386627263 |
|---|---|
| Former Name | FABIOLA B. RAMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 102261) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS031298L) |
| 122300000X Dentist (Licence: NJ 22DI02409500) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2018-05-29 |