NPI | 1447343991 |
---|---|
Former Name | CAROLINA GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1000573) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN16895) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2022-05-27 |