NPI | 1710137252 |
---|---|
Former Name | MASHEIL HANNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 58466) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019.027773) |
Enumeration Date | 2008-09-21 |
Last Update Date | 2021-03-05 |