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 |