| NPI | 1780832519 |
|---|---|
| Former Name | MAURA JOSEPHINE MILAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028210) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IA 08686) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2010-08-11 |