NPI | 1629241161 |
---|---|
Other Name | SANDRA JEAN GRABOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 01924466) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN 09292) |
Enumeration Date | 2008-04-04 |
Last Update Date | 2008-04-04 |