| NPI | 1811251036 |
|---|---|
| Former Name | LEANNA CHRISTINE ASSID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS039199) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 8184) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2024-02-19 |