NPI | 1770830192 |
---|---|
Former Name | STEFANIE SOTELLO HOURANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D008533) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: AZ D008533) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2023-06-14 |