NPI | 1780024315 |
---|---|
Former Name | ANNETTY PAMELA SANCHEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 39185) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DTP652) |
122300000X Dentist (Licence: MA DL11911) | |
Enumeration Date | 2013-06-27 |
Last Update Date | 2022-11-04 |