NPI | 1669865721 |
---|---|
Former Name | ELENA B GAAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN21697) |
Additional Taxonomies | 122300000X Dentist (Licence: CO DEN.00203330) |
1223G0001X Dentist, General Practice (Licence: FL DN21697) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-13 |
Last Update Date | 2018-09-05 |