NPI | 1386974970 |
---|---|
Former Name | PAMELA TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PR 2850) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: PR 2850) |
Enumeration Date | 2010-01-05 |
Last Update Date | 2022-06-30 |