NPI | 1821466111 |
---|---|
Former Name | MARINA ZATS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 64581) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 24639) |
Enumeration Date | 2015-09-03 |
Last Update Date | 2016-09-12 |