NPI | 1821502196 |
---|---|
Former Name | JELENA CAVRIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN30030) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ 9898) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-11-25 |
Last Update Date | 2025-07-21 |