| NPI | 1639585243 |
|---|---|
| Former Name | ERICA WEINBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021.002777) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DL12239) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2016-11-01 |