NPI | 1790925212 |
---|---|
Former Name | DEBRA CARYL LANGSNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 040929) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 0384791) |
Enumeration Date | 2009-02-24 |
Last Update Date | 2009-02-24 |