NPI | 1457767790 |
---|---|
Former Name | KAREN SAGOMONYANTS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CO AD.0000523) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TX 33672) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2022-04-19 |