NPI | 1548612047 |
---|---|
Professional Name | VINCAS V. SIDRYS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401417389) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019.030817) |
1223G0001X Dentist, General Practice (Licence: NC 10567) | |
Enumeration Date | 2016-07-07 |
Last Update Date | 2022-01-13 |