NPI | 1588600019 |
---|---|
Former Name | FLOR D. LOYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019022347) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021001646) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2007-07-08 |