NPI | 1598044554 |
---|---|
Other Name | MICHAEL SIELSKI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 101416) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019028784) |
122300000X Dentist (Licence: TX 30566) | |
Enumeration Date | 2011-08-09 |
Last Update Date | 2019-01-16 |