NPI | 1568805653 |
---|---|
Other Name | LUCINDA AMOROSANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D008882) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 37044) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2017-03-21 |