| NPI | 1821501495 |
|---|---|
| Former Name | CLEO DANUTA STEPHANIDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.033150) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 10743908-9922) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2021-08-27 |