| NPI | 1497096069 |
|---|---|
| Former Name | LILIANA CALKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401413295) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |