NPI | 1437345345 |
---|---|
Former Name | SHEEBA NAWAB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 9999) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 051235-1) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2022-07-21 |