NPI | 1407317407 |
---|---|
Former Name | MELISSA MORAWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: DE G1-0011541) |
Enumeration Date | 2019-03-31 |
Last Update Date | 2024-05-11 |