NPI | 1841636537 |
---|---|
Former Name | DOMINIKA KOVACIKOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 123) |
Additional Taxonomies | 122300000X Dentist (Licence: OK 6495) |
Enumeration Date | 2013-05-21 |
Last Update Date | 2020-08-20 |