| NPI | 1801391115 |
|---|---|
| Former Name | MONICA TAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 11269) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2023-10-02 |