| NPI | 1881946507 |
|---|---|
| Former Name | LAURA SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 8244) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN014476) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2023-10-19 |