| NPI | 1518258789 |
|---|---|
| Former Name | CRISTINA V PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 8678) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 8678) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2013-03-22 |