NPI | 1700181880 |
---|---|
Former Name | NDIDI ONUGHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CA 60123) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 79601) |
Enumeration Date | 2011-01-20 |
Last Update Date | 2024-03-29 |