| NPI | 1437562972 |
|---|---|
| Former Name | MARY SAMY HANNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1856582) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1856582) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2016-08-09 |