| NPI | 1720403280 |
|---|---|
| Former Name | JANICE DE VITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 17891) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: VA 0401414321) |
| 1223G0001X Dentist, General Practice (Licence: VA 0401414321) | |
| 1223G0001X Dentist, General Practice (Licence: DC DEN1002089) | |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2024-03-04 |