| NPI | 1508046988 |
|---|---|
| Former Name | ANDREA LOUISE DECERCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN18169) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN18169) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2024-08-20 |