| NPI | 1396253068 |
|---|---|
| Former Name | PAREESA ARIANA GOSHTASEBI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MT DEN-RDH-LIC-21590) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO DH.002024978) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2022-11-08 |