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 |