NPI | 1639360001 |
---|---|
Former Name | CLAUDIA PATRICIA GUZMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 23409) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 23409) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2023-12-26 |