NPI | 1417202417 |
---|---|
Other Name | ESTEE WANG BAJEMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D13144) |
Enumeration Date | 2012-07-17 |
Last Update Date | 2024-11-15 |