NPI | 1548044233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN31068) |
Additional Taxonomies | 122300000X Dentist (Licence: MO 2024018993) |
122300000X Dentist (Licence: NC 14012) | |
122300000X Dentist (Licence: TN 12348) | |
122300000X Dentist (Licence: SC DGD.10642) | |
122300000X Dentist (Licence: GA DN123322) | |
122300000X Dentist (Licence: AL D.007291-C1) | |
122300000X Dentist (Licence: WI 6001823-15) | |
Enumeration Date | 2023-08-23 |
Last Update Date | 2025-10-03 |