| NPI | 1396993911 |
|---|---|
| Former Name | YOLANDA ALEJANDRINO LE VAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 8676) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN-9758) |
| 1223G0001X Dentist, General Practice (Licence: CA 63203) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2015-06-22 |