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 | 2024-11-25 |