| NPI | 1811129919 |
|---|---|
| Other Name | MICHELLE KRISTIN MAAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 054597) |
| Enumeration Date | 2009-08-23 |
| Last Update Date | 2019-06-11 |