| NPI | 1407409089 |
|---|---|
| Other Name | DAVID GOMEZ CRODDY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 7331) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 104117) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2024-02-12 |