| NPI | 1861163842 |
|---|---|
| Former Name | SHATHA AMMAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 38010) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2023-03-02 |