NPI | 1790871358 |
---|---|
Former Name | MARIA ARLENITA OQUENDO GOMEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NV 7600) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 38533) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2024-02-16 |