NPI | 1891419545 |
---|---|
Former Name | FARIN HASANFATTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 108175) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 108175) |
Enumeration Date | 2022-09-27 |
Last Update Date | 2022-09-27 |