NPI | 1811157894 |
---|---|
Other Name | LUZ ADRIANA CUELLAR PERDOMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 55674) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 55674) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2022-07-21 |