NPI | 1831233295 |
---|---|
Former Name | RUTH HOLZMAN CLEMANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 8714) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 010453) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2021-05-20 |