NPI | 1487098232 |
---|---|
Former Name | ESTELLA A PIZANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TN DS0000010892) |
Additional Taxonomies | 122300000X Dentist (Licence: TN DS0000010892) |
1223G0001X Dentist, General Practice (Licence: WI 7126-15) | |
Enumeration Date | 2013-04-23 |
Last Update Date | 2023-02-14 |