| NPI | 1811730922 |
|---|---|
| Former Name | SANDY MICHELLE GOMEZ-HENRIQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401419715) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2025-08-26 |