NPI | 1821518937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122400000X Denturist (Licence: WA NT003) |
Additional Taxonomies | 122400000X Denturist (Licence: SD UB204630) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2023-03-07 |