| 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 |