| NPI | 1649553819 | 
|---|---|
| Former Name | VIVIAN V KAUFMAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: DC DEN1001624) | 
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OH 30-023521) | 
| 1223E0200X Dentist, Endodontics (Licence: HI 2515) | |
| Enumeration Date | 2011-09-23 | 
| Last Update Date | 2016-10-13 |