NPI | 1689873671 |
---|---|
Former Name | KAHINA ETOSSI KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: GA DN122505) |
Additional Taxonomies | 122300000X Dentist (Licence: GA DN122505) |
1223G0001X Dentist, General Practice (Licence: GA DN122505) | |
Enumeration Date | 2007-07-11 |
Last Update Date | 2024-05-01 |