| NPI | 1427205640 |
|---|---|
| Former Name | ELENA STAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401412779) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 10225) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2011-01-20 |