NPI | 1619524295 |
---|---|
Former Name | JOANNE GUARDIANO SALVADOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 36124) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1858522) |
Enumeration Date | 2019-08-20 |
Last Update Date | 2024-01-27 |