| NPI | 1427329317 |
|---|---|
| Former Name | MARCIA ANITA ENGLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021.001149) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.017289) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |