| NPI | 1407326523 |
|---|---|
| Former Name | ADELA DIAZ |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: FL 18382) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: 18382) |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2018-12-01 |