| NPI | 1427287481 |
|---|---|
| Former Name | DANIELLE THEA SATRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 26226) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901019992) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2022-02-17 |