| NPI | 1669608261 |
|---|---|
| Former Name | ANGELA LYNN WOJTKOWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020788) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 57713) |
| 1223G0001X Dentist, General Practice (Licence: NY 055384) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2015-01-15 |