NPI | 1699113647 |
---|---|
Former Name | SHRADDHA VILAS POWAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 11438) |
Additional Taxonomies | 122300000X Dentist (Licence: CT 2.011438 PROV) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2015-09-09 |