| NPI | 1790985844 |
|---|---|
| Former Name | ALISON LEE HANOSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 8642) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 9435) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2022-07-21 |