| NPI | 1730473158 |
|---|---|
| Former Name | ALISHA N MOTL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27144) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 19329) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2015-05-13 |