| NPI | 1700172889 |
|---|---|
| Former Name | SAYAKA KONDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60746344) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 27115) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2017-10-23 |