NPI | 1639501893 |
---|---|
Former Name | HIROKO NAGAOKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 9384) |
Additional Taxonomies | 122300000X Dentist (Licence: KY 9384) |
Enumeration Date | 2013-07-30 |
Last Update Date | 2025-03-04 |