NPI | 1740768167 |
---|---|
Former Name | WASSAN ARABO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: LA 7050) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS041867) |
Enumeration Date | 2018-07-30 |
Last Update Date | 2022-02-24 |