NPI | 1457543472 |
---|---|
Other Name | GULALAI MATIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 43199) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 43199) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2018-03-17 |