NPI | 1629705025 |
---|---|
Other Name | MARISSA SOLARES ROSSATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 25277) |
Enumeration Date | 2022-08-04 |
Last Update Date | 2022-08-04 |