| NPI | 1689093767 |
|---|---|
| Other Name | ANGELINA MIOSOTIS GOMEZ TEJADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL DN21119) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 21119) |
| 1223G0001X Dentist, General Practice (Licence: NY 058293-1) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-02-01 |