| NPI | 1912067422 |
|---|---|
| Former Name | MITALI MUKHERJEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 52897) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: CA 52897) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2016-08-09 |