| NPI | 1740910017 |
|---|---|
| Former Name | ALEXANDRA MASCARO CHAMBERLAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 100506) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-10 |