| NPI | 1417240078 |
|---|---|
| Former Name | JENNIFER SUSAN ANDREYKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D0081040) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 60283) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |