NPI | 1659823045 |
---|---|
Former Name | XIANG LU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.024929) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30.024929) |
Enumeration Date | 2016-11-01 |
Last Update Date | 2016-11-01 |