NPI | 1770025397 |
---|---|
Former Name | DEMYANA AZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN21715) |
Enumeration Date | 2016-11-14 |
Last Update Date | 2022-05-16 |