NPI | 1497314454 |
---|---|
Former Name | CHRISTINE MARIE STRAKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DRPM2060) |
Enumeration Date | 2019-06-12 |
Last Update Date | 2025-02-14 |