NPI | 1467957506 |
---|---|
Former Name | OLGA BARANCEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 12537) |
Additional Taxonomies | 122300000X Dentist (Licence: HI DT-2739) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2024-05-21 |