NPI | 1790834083 |
---|---|
Other Name | YADIRA LONTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DN013477) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PR 2630) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 051734-1) | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2020-06-27 |