NPI | 1639404692 |
---|---|
Professional Name | ALDRICH SY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA 60826) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 7847) |
390200000X Student in an Organized Health Care Education/Training Program | |
204E00000X Oral & Maxillofacial Surgery (Licence: CA a139932) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 60826) | |
Enumeration Date | 2009-10-08 |
Last Update Date | 2016-12-20 |