NPI | 1598125395 |
---|---|
Former Name | ALBA CRESPO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN23824) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 31709) |
122300000X Dentist (Licence: FL DN23824) | |
Enumeration Date | 2016-03-07 |
Last Update Date | 2020-11-12 |