NPI | 1548600844 |
---|---|
Former Name | VANILA CHOUDHRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA DDS103737) |
Additional Taxonomies | 122300000X Dentist (Licence: CA dds103737) |
122300000X Dentist (Licence: WA DE60390138) | |
Enumeration Date | 2013-07-01 |
Last Update Date | 2025-01-27 |