NPI | 1891884391 |
---|---|
Other Name | MONTE PAGE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D3606) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 28977) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2017-02-21 |