NPI | 1831272798 |
---|---|
Former Name | BARRY HERBERT EPSTEIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CA 29586) |
Additional Taxonomies | 122300000X Dentist (Licence: NV 4659T) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2007-12-31 |