NPI | 1538855598 |
---|---|
Other Name | ANISHA SEBASTIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 38818) |
Enumeration Date | 2023-04-13 |
Last Update Date | 2023-04-13 |