NPI | 1851528939 |
---|---|
Former Name | SABINA GUPTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CA 64213) |
Additional Taxonomies | 122300000X Dentist (Licence: GA DN013884) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2022-07-07 |