NPI | 1740536739 |
---|---|
Former Name | SARAH PAULOWSKY RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 28072) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 28072) |
Enumeration Date | 2012-07-27 |
Last Update Date | 2021-06-09 |