NPI | 1558779850 |
---|---|
Former Name | LORI LORENA BIASI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE60483485) |
Additional Taxonomies | 122300000X Dentist (Licence: WA DE60483) |
Enumeration Date | 2014-07-30 |
Last Update Date | 2023-08-07 |