NPI | 1902862493 |
---|---|
Other Name | LEANDRA DOPAZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 18719) |
Enumeration Date | 2006-04-24 |
Last Update Date | 2011-06-16 |