NPI | 1891835112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122400000X Denturist (Licence: OR DTDO838758) |
Additional Taxonomies | 122400000X Denturist (Licence: WA DN 00000379) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2010-06-29 |