NPI | 1437396702 |
---|---|
Former Name | LEYKZA VELEZ-ACARON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: PR 2795) |
Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: PR 2795) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2015-03-11 |