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 |