NPI | 1437772118 |
---|---|
Former Name | SARAH FUNARO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: OR D11786) |
Additional Taxonomies | 122300000X Dentist (Licence: WA DE61525166) |
122300000X Dentist (Licence: FL DN24877) | |
Enumeration Date | 2020-05-28 |
Last Update Date | 2024-10-03 |