| NPI | 1760881965 |
|---|---|
| Former Name | ELYSE MARIE GARIBALDI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 63862) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2015-06-15 |