NPI | 1508173709 |
---|---|
Former Name | MARIA CRISTINA THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS64259) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019028267) |
Enumeration Date | 2010-09-09 |
Last Update Date | 2022-09-29 |