NPI | 1770598336 |
---|---|
Former Name | ALICE HASSIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CT 008030) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA 6021) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2012-11-13 |