NPI | 1831691872 |
---|---|
Former Name | MELANIE HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 1001720-15) |
Additional Taxonomies | 122300000X Dentist (Licence: WI 1001720-15) |
Enumeration Date | 2018-03-06 |
Last Update Date | 2019-08-26 |