NPI | 1851561336 |
---|---|
Other Name | CECILIA JESSICA IBARGUEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 54682) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 54682) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2021-12-27 |