NPI | 1760488670 |
---|---|
Other Name | MONOSETA C. BURWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901013087) |
Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MI BOARD ELIGIBLE) |
Enumeration Date | 2005-06-24 |
Last Update Date | 2007-07-08 |