NPI | 1710325451 |
---|---|
Former Name | IRIS C GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: GA dn015820) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN20114) |
Enumeration Date | 2013-06-04 |
Last Update Date | 2023-08-16 |