NPI | 1588985899 |
---|---|
Former Name | MONA KALAYEH STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: TX 32436) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 32436) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2020-11-18 |