| NPI | 1457762569 | 
|---|---|
| Former Name | JULIE ANN ADAMCZYK | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DN1856491) | 
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: IN 12011703A) | 
| Enumeration Date | 2014-05-12 | 
| Last Update Date | 2019-02-26 |