| NPI | 1477087120 |
|---|---|
| Former Name | ALEXANDRA FUCHS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 060080) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2020-05-01 |