| 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 |