| NPI | 1598053639 |
|---|---|
| Other Name | TANIA TRUTER RICCIARDONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 6350) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 6199) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2019-02-28 |