NPI | 1699104927 |
---|---|
Former Name | NISHA BHARAT MANIAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: GA DN015970) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: PA DS039792) |
Enumeration Date | 2013-11-07 |
Last Update Date | 2022-08-09 |