| NPI | 1548594161 |
|---|---|
| Former Name | KANIKA S STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24974) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 6450-15) |
| 122300000X Dentist (Licence: TX 0024974) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2022-07-21 |