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 |