NPI | 1629207196 |
---|---|
Former Name | HELEN V CARDACIOTTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 3576-10) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: VA 0401412901) |
Enumeration Date | 2009-07-06 |
Last Update Date | 2021-07-08 |