NPI | 1386875664 |
---|---|
Former Name | SARAH ANN PASSARELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14829) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1855236) |
Enumeration Date | 2009-08-04 |
Last Update Date | 2012-02-14 |