| NPI | 1821186164 |
|---|---|
| Former Name | TANTA STERE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 4364) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 49997) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-07-01 |