NPI | 1548558158 |
---|---|
Former Name | MELODY DAROOGAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MD 15031) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 15031) |
Enumeration Date | 2011-07-17 |
Last Update Date | 2021-03-11 |