NPI | 1508015520 |
---|---|
Former Name | ABIGAIL ANN PAUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: KY 10375) |
Additional Taxonomies | 122300000X Dentist (Licence: MI 2901019890) |
122300000X Dentist (Licence: IN 12011203A) | |
Enumeration Date | 2008-09-15 |
Last Update Date | 2020-03-24 |