NPI | 1902218936 |
---|---|
Former Name | JULIA CLAIRE SADOVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019.030955) |
Additional Taxonomies | 122300000X Dentist (Licence: IN 12012127A) |
Enumeration Date | 2014-05-26 |
Last Update Date | 2018-04-09 |