| NPI | 1861564882 |
|---|---|
| Former Name | SONIA SADDAF GONDAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 14336) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 21861) |
| 122300000X Dentist (Licence: VA 0401412354) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2009-06-03 |