| NPI | 1588997621 |
|---|---|
| Former Name | DRILONA KELLICI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 054487) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 054487) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2018-05-10 |