NPI | 1720392491 |
---|---|
Former Name | BANSI TARUNKANT MITHANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038501) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02420800) |
Enumeration Date | 2010-08-04 |
Last Update Date | 2021-02-21 |