NPI | 1881907145 |
---|---|
Former Name | SHARI SOLOMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 64148) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D008093) |
Enumeration Date | 2010-07-15 |
Last Update Date | 2018-08-29 |