| NPI | 1750503546 |
|---|---|
| Former Name | ENIKO ALICEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 7775) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-022322) |
| 1223G0001X Dentist, General Practice (Licence: AZ 7775) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-08-23 |