| NPI | 1841662699 |
|---|---|
| Other Name | VINCENT CARRAZANA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA DDS107471) |
| Additional Taxonomies | 122300000X Dentist (Licence: KS 61274) |
| 122300000X Dentist (Licence: MO 2015037416) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2022-09-07 |